Peak Physical Therapy & Sports Medicine of Wylie

NPI #1932131455 in Wylie, Texas

Provider Information

NPI Number: 1932131455
Entity Type: Organization
Organization Name: Peak Physical Therapy & Sports Medicine of Wylie
Primary Specialty: Physical Therapist
Enumeration Date: Jul 7, 2006
Last Updated: Dec 30, 2009

Practice Location

Address: 611 W BROWN ST STE 101
City: Wylie
State: Texas
ZIP Code: 75098-5816
Phone: (972) 442-5287

Authorized Official

Name: MR. EDWARD RICHARD BROAD, MPT
Title: OWNER/DIRECTOR/THERAPIST
Phone: (972) 442-5287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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