Pediatric and Sports Physical Therapy Pllc

NPI #1699015990 in Wylie, Texas

Provider Information

NPI Number: 1699015990
Entity Type: Organization
Organization Name: Pediatric and Sports Physical Therapy Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Feb 22, 2013
Last Updated: Feb 22, 2013

Practice Location

Address: 211 REGENCY DR
Address 2: SUITE 200
City: Wylie
State: Texas
ZIP Code: 75098
Phone: (972) 429-2187

Authorized Official

Name: LAURA JAYNE KOENIG, PT, DPT
Title: OWNER
Phone: (972) 429-2187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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