Organization
DEVIC PHYSICAL THERAPY
Active
Other names
Devic Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE NGWANAH (OWNER)
(817) 881-9677
Entity
Organization
Contact information
Practice address
7220 VIENTA PT, GRAND PRAIRIE, TX 75054-0090
(817) 881-9677
Mailing address
7220 VIENTA PT, GRAND PRAIRIE, TX 75054-0090
(817) 881-9677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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