Individual
ELIZABETH WALDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5161 HARRY HINES BLVD, DALLAS, TX 75235-7707
(214) 645-2080
Mailing address
4321 COLE AVE APT K, DALLAS, TX 75205-4455
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1220079
TX
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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