Organization
INTEGRATIVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY N FRYER PT, CDT-D, SIPT CERT (PRESIDENT/OWNER)
(972) 404-3077
Entity
Organization
Contact information
Practice address
12840 HILLCREST ROAD, SUITE E-104, DALLAS, TX 75230
(972) 404-3077
(972) 404-1124
Mailing address
6101 WINDCOM COURT, SUITE 100, PLANO, TX 75093
(972) 608-0909
(469) 429-2065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1066306
TX
Other
Enumeration date
07/29/2009
Last updated
03/25/2014
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