Ampic Rehab, Pllc

NPI #1699059394 in Plano, Texas

Provider Information

NPI Number: 1699059394
Entity Type: Organization
Organization Name: Ampic Rehab, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Sep 29, 2011
Last Updated: Sep 29, 2011

Practice Location

Address: 7704 SAN JACINTO PL
Address 2: SUITE 200
City: Plano
State: Texas
ZIP Code: 75024-3202
Phone: (214) 733-7869

Authorized Official

Name: DR. MARK BRENNAN RUSSO, PT, DPT
Title: OWNER/PHYSICAL THERAPIST
Phone: (214) 733-7869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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