Individual
FNU SHINY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SIGMA RD STE 130, DALLAS, TX 75244-4445
(469) 321-9026
Mailing address
4300 SIGMA RD STE 130, DALLAS, TX 75244-4445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2151501
TX
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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