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1497048730
SOUTHLAKE SPORTS & SPINE REHAB PLLC
SOUTHLAKE, TX
NPI
1497048730
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Entity Type
Organization
Authorized Contact
JOEL DEAN JUDD
Owner
817-498-3919
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2011-05-19
Last Update Date
2011-05-19
Business Address
SOUTHLAKE SPORTS & SPINE REHAB PLLC
1050 E HIGHWAY 114 SUITE 110
SOUTHLAKE, TX 76092-5253
Phone number: 817-491-4775
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Mailing Address
SOUTHLAKE SPORTS & SPINE REHAB PLLC
1109 CHURCH ST
COLLEYVILLE, TX 76034-5849
Phone number: 817-498-3919
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