Provider Demographics
NPI:1669502134
Name:STONEBRIDGE BODY WORKS, INC.
Entity Type:Organization
Organization Name:STONEBRIDGE BODY WORKS, INC.
Other - Org Name:STONEBRIDGE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST, PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:MARLIER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:972-548-9993
Mailing Address - Street 1:6200 VIRGINIA PKWY
Mailing Address - Street 2:#100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5504
Mailing Address - Country:US
Mailing Address - Phone:972-548-9993
Mailing Address - Fax:972-548-8485
Practice Address - Street 1:6200 VIRGINIA PKWY
Practice Address - Street 2:#100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5504
Practice Address - Country:US
Practice Address - Phone:972-548-9993
Practice Address - Fax:972-548-8485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1156443261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy