Individual
CYNDEE L HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
190 S PEYTONVILLE AVE, STE 100, SOUTHLAKE, TX 76092-6937
(817) 329-5333
(817) 268-2802
Mailing address
190 S PEYTONVILLE AVE, STE 100, SOUTHLAKE, TX 76092-6937
(817) 329-5333
(817) 268-2802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1043453TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043453TX
STATE LICENSE NUMBER
TX
01
—
8T6952
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/01/2007
Last updated
10/14/2013
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