| Glen Rose Physical Therapy And Sports Rehab, P.c. | |
|
1005 Ne Big Bend Trl, Suite 3, Glen Rose, TX 76043-4942 | |
| (254) 898-2121 | |
| (254) 898-1616 |
| Full Name | Glen Rose Physical Therapy And Sports Rehab, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1005 Ne Big Bend Trl, Glen Rose, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639228844 | NPI | - | NPPES |
| 0015NN | Other | TX | BCBS |
| 181331301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1078459 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Rose Physical Therapy And Sports Rehab, P.c. Po Box 292, Glen Rose, TX 76043-0292 Ph: (254) 898-2121 | Glen Rose Physical Therapy And Sports Rehab, P.c. 1005 Ne Big Bend Trl, Suite 3, Glen Rose, TX 76043-4942 Ph: (254) 898-2121 |
Mrs. Jillian Mahan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Big Bend Trl Unit 7, Glen Rose, TX 76043 Phone: 254-897-3176 | |
Mr. Clark Kevin Cole, PHYSICAL THERAPTIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Big Bend Trl, Suite 3, Glen Rose, TX 76043 Phone: 254-898-2121 Fax: 254-898-1616 |