Individual
CARSEN RAE GROM RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1206 E MAIN ST STE 102, ALLEN, TX 75002-3978
(972) 325-1390
(972) 325-1391
Mailing address
PO BOX 2650, COPPELL, TX 75019-8607
(972) 724-2400
(972) 724-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1407141
TX
Other
Enumeration date
06/07/2025
Last updated
08/16/2025
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