Individual
TOMMY LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
7100 MATLOCK RD, ARLINGTON, TX 76002-3402
(817) 466-2511
Mailing address
3408 SEDONA DR, GRAND PRAIRIE, TX 75052-7855
(469) 774-2584
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1248837
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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