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Organization
FOUNDATION HEALTH PHYSICAL THERAPY
Active
Organization
FOUNDATION HEALTH PHYSICAL THERAPY
Active
Other names
EDGE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE HERNANDEZ MPT (DIRECTOR)
(214) 618-8075
Entity
Organization
Contact information
Practice address
8380 WARREN PKWY, 502, FRISCO, TX 75034-4198
(214) 618-8075
(214) 618-8055
Mailing address
8380 WARREN PKWY, 502, FRISCO, TX 75034-4198
(214) 618-8075
(214) 618-8055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
657780000
TX
Other
Enumeration date
07/11/2006
Last updated
06/20/2012
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