Individual
CAROLINE MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9441 LYNDON B JOHNSON FWY, SUITE 101, DALLAS, TX 75243
(214) 575-9820
Mailing address
755 WOODLAKE DR, COPPELL, TX 75019-2811
(972) 745-0989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1048130
TX
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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