Organization
AVATAR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI GOPALAKRISHNAN (OWNER)
(844) 422-5528
Entity
Organization
Contact information
Practice address
100 N CENTRAL EXPY STE 190, RICHARDSON, TX 75080-5302
(844) 422-5582
(844) 432-9282
Mailing address
100 N CENTRAL EXPY STE 190, RICHARDSON, TX 75080-5302
(844) 422-5528
(844) 432-9282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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