Revitalife Physical Therapy And Wellness Llc | |
1007 Evandale Ln, Sugar Land, TX 77479-5309 | |
(832) 548-0080 | |
Not Available |
Full Name | Revitalife Physical Therapy And Wellness Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1007 Evandale Ln, Sugar Land, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679274252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Rupal Shriraj Raval |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760634828 PECOS PAC ID: 5890169064 Enrollment ID: I20230330001159 |
Mailing Address | Practice Location Address |
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Revitalife Physical Therapy And Wellness Llc 1007 Evandale Ln, Sugar Land, TX 77479-5309 Ph: (832) 548-0080 | Revitalife Physical Therapy And Wellness Llc 1007 Evandale Ln, Sugar Land, TX 77479-5309 Ph: (832) 548-0080 |
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