Covenant Physical Therapy, LLC
Physical Therapist in Desoto, TX. Organization (NPI-2).
NPI number1508232398
StatusActive
Last updated in NPPESOct 20, 2015
Details
- NPI
- 1508232398
- Entity type
- Organization (NPI-2)
- Legal business name
- Covenant Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2015
- Last updated
- Oct 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1172428 | TX | Yes |
Practice location
951 York Dr104
Desoto, TX 75115-2052
Phone 972-925-0765
Mailing address
951 York Dr104
Desoto, TX 75115-2052
Authorized official
Chioma Olonade
Owner
9729250765
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