Individual
DINO MEDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 E BUSINESS 190 UNIT 224, COPPERAS COVE, TX 76522-2521
(254) 577-4938
Mailing address
PO BOX 724557, ATLANTA, GA 31139-1557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
07/22/2020
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