Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jun 26, 2017
License(s)
1291827 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3637 TIMBERGLEN RD APT 4308 | Dallas, TX 75287-3591 | |
| LOCATION | 4700 ALLIANCE BLVD | Plano, TX 75093-5323 | 469-814-2550 |
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