Tibin Prince

NPI #1548738099 in Richardson, Texas

Provider Information

NPI Number: 1548738099
Entity Type: Individual
Name: Tibin Prince
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 2, 2018
Last Updated: Jul 16, 2021

Practice Location

Address: 3030 WATERVIEW PKWY
City: Richardson
State: Texas
ZIP Code: 75080-1400
Phone: (972) 332-4682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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