Stanley Brian Tee, PT | |
106 N Denton Tap Rd Ste 220, Coppell, TX 75019-2139 | |
(630) 296-2223 | |
Not Available |
Full Name | Stanley Brian Tee |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 106 N Denton Tap Rd Ste 220, Coppell, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134629157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1301502 (Texas) | Primary |
Provider Name | Ideal Physical Therapy Of Texas Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
Mailing Address | Practice Location Address |
---|---|
Stanley Brian Tee, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Stanley Brian Tee, PT 106 N Denton Tap Rd Ste 220, Coppell, TX 75019-2139 Ph: (630) 296-2223 |
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