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Eli Jimenez, PTA

Physical Therapy Assistant in Dallas, TX. Individual provider (NPI-1).

NPI number1982184891
StatusActive
Last updated in NPPESAug 20, 2018

Details

NPI
1982184891
Entity type
Individual (NPI-1)
Name
Eli Jimenez
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 20, 2018
Last updated
Aug 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2116675TXYes

Practice location

8615 Lullwater Dr
Dallas, TX 75238-4754

Phone 214-221-0444

Mailing address

5322 Parkland Ave
Dallas, TX 75235-8221

Phone 214-229-2347

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