Transformation Physical Therapy LLC

NPI #1992460174 in Coppell, Texas

Provider Information

NPI Number: 1992460174
Entity Type: Organization
Organization Name: Transformation Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 3, 2021
Last Updated: Nov 3, 2021

Practice Location

Address: 275 S. DENTON TAP RD.
Address 2: STE. 150
City: Coppell
State: Texas
ZIP Code: 75019
Phone: (214) 864-2440

Authorized Official

Name: DR. JENNIFER SULLIVAN BULLOCK, D.P.T.
Title: OWNER
Phone: (214) 864-2440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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