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Organization
INNOVATIVE THERAPY P.C.
Active
Organization
INNOVATIVE THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L. THOMAS PT (CEO)
(214) 225-8530
Entity
Organization
Contact information
Practice address
13747 MONTFORT DR STE 160, DALLAS, TX 75240-4454
(214) 225-8530
(888) 816-3627
Mailing address
13747 MONTFORT DR STE 160, DALLAS, TX 75240-4454
(214) 225-8530
(888) 816-3627
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
622860000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87740901
—
TX
Enumeration date
08/25/2006
Last updated
05/01/2024
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