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Organization

EDGE REHABILITATION AND SPORTS THERAPY - ALLEN LLC

Active
Other names
EDGE PHYSICAL THERAPY
Organization subpart
No

Provider details

NPI number
Authorized official
SHANE T HERNANDEZ DPT (OWNER)
(972) 529-9292
Entity
Organization

Contact information

Practice address
788 S. WATTERS RD, ALLEN, TX 75013-4998
(469) 270-7600
(469) 270-7599
Mailing address
788 S. WATTERS RD, ALLEN, TX 75013-4998
(469) 270-7600
(469) 270-7599

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1139004
TX

Other

Enumeration date
10/07/2016
Last updated
11/11/2016
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