Provider First Line Business Practice Location Address:
11880 GREENVILLE AVE.
Provider Second Line Business Practice Location Address:
STE. 100, NORTH TEXAS THERAPY INNOVATIONS
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-349-6178
Provider Business Practice Location Address Fax Number:
214-575-9898
Provider Enumeration Date:
02/13/2007