Individual
ANDREA LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2908 E TRINITY MILLS RD, CARROLLTON, TX 75006-2318
(972) 417-9999
(972) 417-9906
Mailing address
4975 MORRIS AVE, APT 1341, ADDISON, TX 75001-6607
(214) 517-9095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2051078
TX
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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