Individual
DIANE MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3107 W CAMP WISDOM RD STE 131, DALLAS, TX 75237-2600
(214) 339-4533
Mailing address
3107 W CAMP WISDOM RD STE 131, DALLAS, TX 75237-2600
(214) 339-4533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2060186
TX
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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