Organization
ELITE ALLIANCE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL FASANYA JR. PT, DPT, CSOMT (OWNER/FOUNDER)
(469) 531-9697
Entity
Organization
Contact information
Practice address
2629 N STEMMONS FWY STE 225, DALLAS, TX 75207-2115
(469) 531-9697
Mailing address
4201 POPPY HILL CT, ROWLETT, TX 75088-6496
(469) 531-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/18/2021
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