Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1116374 | TX |
NPI | 1245778042 |
---|---|
Provider Name | Elizabeth Mccrary |
First Address | Dallas, TX 75238-3353 |
Second Address | Dallas, TX 75243-5514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2017 |
Last Update Date | 01/02/2017 |