Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 21, 2015
License(s)
1341547 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5060 TENNYSON PKWY STE 303 | Plano, TX 75024-4170 | 469-897-1360 |
| MAILING | 4250 WALNUT GROVE LN | Prosper, TX 75078-5178 | 347-525-6132 |
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