Organization · NPI-2

Axis Physical Therapy Group LLC

Physical Therapist · Addison, TX

NPI number1902299209
StatusActive
Last updated in NPPESMar 10, 2015

Details

NPI
1902299209
Entity type
Organization (NPI-2)
Legal business name
Axis Physical Therapy Group LLC
Organization subpart
No
Enumeration date
Mar 10, 2015
Last updated
Mar 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1175347TXYes

Practice location

4341 Lindbergh Dr
Suite 200j
Addison, TX 75001-4536

Phone 972-774-5641

Mailing address

4341 Lindbergh Dr
Suite 200j
Addison, TX 75001-4536

Phone 972-774-5641

Authorized official

Albert Isaac Nabors
Owner
2142078945

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