Individual
MRS. BONNIE HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17430 CAMPBELL RD STE 112, DALLAS, TX 75252-5297
(214) 628-9047
Mailing address
5649 CHARLESTOWN DR, DALLAS, TX 75230-1729
(972) 979-7785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1104685
TX
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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