Individual
MS. MARY STULTZ-WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8615 FREEPORT PRKY, #225, IRVING, TX 75063
(972) 812-3299
Mailing address
5213 TREMONT ST, #B, DALLAS, TX 75214
(817) 992-7517
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018891
TX
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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