Individual
PABLO ENRIQUE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
550 E ANN ARBOR AVE, DALLAS, TX 75216-6718
(214) 376-1701
Mailing address
5 LAUREL RD, FREEPORT, NY 11520-5112
(516) 330-4882
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1195597
TX
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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