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Individual

SPENCER BEN BURRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1015 N CARROLL AVE, DALLAS, TX 75204-6613
(214) 887-6580
Mailing address
5707 LLANO AVE, DALLAS, TX 75206-6315

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
04/08/2024
Last updated
04/08/2024
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