Individual
HANNA RAE MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, BCS-O, OTC
Contact information
Practice address
7115 GREENVILLE AVE STE 310, DALLAS, TX 75231-5103
(214) 265-3200
Mailing address
4601 AMESBURY DR APT 2306, DALLAS, TX 75206-0021
(214) 236-5210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6584
TX
246ZX2200X
Orthopedic Assistant
3000100020
—
Other
Enumeration date
09/01/2016
Last updated
04/14/2023
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