Provider Demographics
NPI:1346914157
Name:HANDS-ON PHYSICAL THERAPY AND INJURY RECOVERY PLLC
Entity type:Organization
Organization Name:HANDS-ON PHYSICAL THERAPY AND INJURY RECOVERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SILEM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ-GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:630-401-2518
Mailing Address - Street 1:903 N LOOP 336 W STE B
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1161
Mailing Address - Country:US
Mailing Address - Phone:630-401-2518
Mailing Address - Fax:936-283-5830
Practice Address - Street 1:903 N LOOP 336 W STE B
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1161
Practice Address - Country:US
Practice Address - Phone:936-228-9350
Practice Address - Fax:936-283-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty