Individual
DENNIS VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4897 TX-121, THE COLONY, TX 75056
(469) 362-3714
Mailing address
2511 SILVERTHORNE DR, DALLAS, TX 75287-5867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1366198
TX
Other
Enumeration date
09/02/2022
Last updated
12/06/2022
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