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Individual

EDWARD ALEXANDER NIETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
9301 NORTH CENTRAL EXPRESSWAY, TOWER II, 4TH FLOOR, SUITE 451, DALLAS, TX 75231
(214) 397-1570
Mailing address
8250 MEADOW RD APT 5318, DALLAS, TX 75231-3773
(210) 381-2260

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1377372
TX

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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