Individual
CYNTHIA VIDAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CLT
Contact information
Practice address
805 RED TIP DR, ALLEN, TX 75002-5087
(214) 680-7375
Mailing address
805 RED TIP DR, ALLEN, TX 75002-5087
(214) 680-7375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1074151
TX
Other
Enumeration date
03/29/2022
Last updated
03/30/2022
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