Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1028496 | TX |
Y | 2251N0400X | Physical Therapist - Neurology | 1028496 | TX |
N | 2251P0200X | Physical Therapist - Pediatrics | 1028496 | |
N | 2251P0200X | Physical Therapist - Pediatrics | 1028496 | TX |
NPI | 1205959624 |
---|---|
Provider Name | Mrs. Cynthia Lynne Alvis I |
First Address | Colleyville, TX 76034-3681 |
Second Address | Colleyville, TX 76034-3681 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 24/02/2019 |