Organization
AMP MOVEMENT THERAPY
Active
Organization
AMP MOVEMENT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA PONCHUR PT, DPT (OWNER, PHYSICAL THERAPIST)
(913) 645-0703
Entity
Organization
Contact information
Practice address
4715 IBERIA AVE STE 200, DALLAS, TX 75207-5507
(913) 645-0703
Mailing address
3026 THOMAS AVE APT H, DALLAS, TX 75204-3525
(913) 645-0703
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
09/03/2020
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