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Individual

DAVID WADDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
325 N SAINT PAUL ST STE 4200, DALLAS, TX 75201-3832
(866) 217-6701
Mailing address
1316 EDGEMONT DR, MESQUITE, TX 75149-6411
(580) 307-2023

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2044188
TX

Other

Enumeration date
02/10/2008
Last updated
02/10/2008
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