Individual
ANDREA KAY IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1015 N CARROLL AVE, STE 104, DALLAS, TX 75204-6613
(214) 887-6580
Mailing address
1015 N CARROLL AVE, STE 104, DALLAS, TX 75204-6613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1214862
TX
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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