Provider Demographics
NPI:1730406612
Name:SELECT PHYSICAL THERAPY
Entity type:Organization
Organization Name:SELECT PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SERVICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-227-7396
Mailing Address - Street 1:15000 MANSIONS VIEW DR
Mailing Address - Street 2:# 503
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4339
Mailing Address - Country:US
Mailing Address - Phone:713-992-7246
Mailing Address - Fax:
Practice Address - Street 1:15311 VANTAGE PKWY W
Practice Address - Street 2:130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-1954
Practice Address - Country:US
Practice Address - Phone:713-992-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1184860261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation