Country Outpatient Physical Therapy

Organization Active NPI Physical Therapy Clinic/Center · Mason, TX

NPI 1487974317 · NPPES record last updated Aug 10, 2010

Key facts

NPI
1487974317
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
668460000 (TX)
Legal business name
COUNTRY OUTPATIENT PHYSICAL THERAPY
Practice address
205 E. College St
Mason, TX 76856
Phone
(325) 347-9600
Fax
(325) 347-9700
NPI assigned
Jun 2, 2010
Organization subpart
No

Authorized official

Name
Mrs. Dawn A. Farmer, RN
Title
RN, Administrator
Phone
(325) 347-4762

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 668460000 TX Yes

Addresses

Primary practice location

205 E. College St
Mason, TX 76856

Mailing address

PO Box 1007
205 E. College St
Mason, TX 76856
Phone (325) 347-9600

Other providers in Mason, TX

All providers in Mason, TX · Physical Therapy Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.