Individual
HOUMAN ADIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
721 S HIGHWAY 78, WYLIE, TX 75098-4004
(972) 303-8100
Mailing address
721 S HIGHWAY 78, WYLIE, TX 75098-4004
(972) 303-8100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2111317
TX
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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