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1100 N Blue Mound Rd Ste 130, Saginaw, TX 76131-4902 | |
(773) 707-8910 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1100 N Blue Mound Rd Ste 130, Saginaw, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265295307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Amelia Sharmaine Longsworth |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851853006 PECOS PAC ID: 2264821560 Enrollment ID: I20240503001952 |
Mailing Address | Practice Location Address |
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7212 W Greenleaf St, Niles, IL 60714-2116 Ph: (773) 707-8910 | 1100 N Blue Mound Rd Ste 130, Saginaw, TX 76131-4902 Ph: (773) 707-8910 |