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Individual

AUDREY CANTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(214) 820-9300
Mailing address
1110 ALVINGTON CT, ROCKWALL, TX 75032-7484
(469) 338-1007

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1306872
TX
225100000X
Physical Therapist
Primary
1306872
TX

Other

Enumeration date
10/06/2022
Last updated
10/06/2022
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