Individual
ADAM MARK BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4461 COIT RD, SUITE 301, FRISCO, TX 75035-0521
(214) 705-6611
(214) 619-1008
Mailing address
4461 COIT RD, SUITE 301, FRISCO, TX 75035-0521
(214) 705-6611
(214) 619-1008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1154838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154838
PHYSICAL THERAPY LICENSE NUMBER
TX
Enumeration date
08/23/2006
Last updated
10/26/2012
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