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Organization
PHYSIOTHERAPY ASC
Active
Organization
PHYSIOTHERAPY ASC
Active
Other names
MATRIX NORTH DALLAS PT
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA KAMPHAUS PT (FACILITY DIRECTOR)
(972) 437-2048
Entity
Organization
Contact information
Practice address
510 N COIT RD, 2035 PROMENADE CTR, RICHARDSON, TX 75080-5446
(972) 437-2048
(972) 480-8514
Mailing address
510 N COIT RD, 2035 PROMENADE CTR, RICHARDSON, TX 75080-5446
(972) 437-2048
(972) 480-8514
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
112244
TX
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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