Individual
CHARTER RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7790
Mailing address
2800 AMHERST AVE, DALLAS, TX 75225-7903
(214) 868-6727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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