Individual
MRS. NICOLE CARVACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
17480 NORTH DALLAS TOLLWAY, ADDISON, TX 75287
(214) 623-5900
(214) 623-5901
Mailing address
305 NE LOOP 280, BUSINESS TOWER 1 SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1211128
TX
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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