Organization
NEO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN WADE BLANKENSHIP DPT (OWNER/PHYSICAL THERAPIST)
(469) 585-2327
Entity
Organization
Contact information
Practice address
1675 REPUBLIC PKWY STE 101, MESQUITE, TX 75150-6902
(469) 585-2327
Mailing address
1801 UNIVERSITY DR, RICHARDSON, TX 75081-3920
(469) 585-2327
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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