BCM Innovative Therapies

Organization Active NPI Early Intervention Provider Agency · Corsicana, TX

NPI 1053715664 · NPPES record last updated Oct 13, 2014

Key facts

NPI
1053715664
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
1249341 (TX)
Legal business name
BCM INNOVATIVE THERAPIES
Practice address
3728 S Hwy 287
Corsicana, TX 75109-8960
Phone
(903) 874-6315
NPI assigned
Oct 13, 2014
Organization subpart
No

Authorized official

Name
Samantha Moyer, DPT
Title
Physical Therapist
Phone
(610) 737-2524

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
BCM Innovative Therapies (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1249341 TX Yes

Addresses

Primary practice location

3728 S Hwy 287
Corsicana, TX 75109-8960

Mailing address

3728 S Hwy 287
Corsicana, TX 75109-8960

Other providers in Corsicana, TX

All providers in Corsicana, TX · Early Intervention Provider Agency in Texas

Sources for this page

Verify at the official NPI Registry.