Doctor Name: | MRS. EDOLO O AZENABOR |
NPI Number: | 1033225750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1907 |
Business Practice Address: | 4500 S Lancaster Rd Dallas, TX - 752167167 |
Business Phone Number: | 2158571309 |
Business Fax Number: | |
Mailing Address: | 532 Salisbury Dr, GRAND PRAIRIE |
State: | TX |
Postal Code: | 750523172 |
Phone Number: | 9722632028 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |