Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 4, 2007
License(s)
027020 (NY), 1339245 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5060 TENNYSON PKWY STE 303 | Plano, TX 75024-4170 | 917-806-3958 |
| MAILING | 5060 TENNYSON PKWY STE 303 | Plano, TX 75024-4170 | 917-806-3958 |
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