Maxicare Therapy and Wellness of Dallas

NPI #1689212649 in Richardson, Texas

Provider Information

NPI Number: 1689212649
Entity Type: Organization
Organization Name: Maxicare Therapy and Wellness of Dallas
Primary Specialty: Physical Therapist
Enumeration Date: Dec 20, 2019
Last Updated: Jan 6, 2020

Practice Location

Address: 1701 N COLLINS BLVD STE 330
City: Richardson
State: Texas
ZIP Code: 75080-3602
Phone: (214) 774-2323

Authorized Official

Name: MISS ANNABEL AQUINO MANABAT, RPT
Title: PHYSICAL THERAPIST
Phone: (773) 853-1833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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