Individual
CLARESTA ELISABETH TASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3001 FM 2181 STE 150, CORINTH, TX 76210-0109
(940) 498-4004
(940) 498-4008
Mailing address
PO BOX 2650, COPPELL, TX 75019-8607
(972) 724-2400
(972) 724-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1350103
TX
Other
Enumeration date
05/26/2021
Last updated
08/20/2021
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