Doctor Name: | MS. KANDY K KOBAR |
NPI Number: | 1053363721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 100811 |
Business Practice Address: | 2535 Ira E Woods Ave Grapevine, TX - 760513930 |
Business Phone Number: | 8174812121 |
Business Fax Number: | 8174884493 |
Mailing Address: | 2535 Ira E Woods Ave, GRAPEVINE |
State: | TX |
Postal Code: | 760513930 |
Phone Number: | 8174812121 |
Fax Number: | 8174884493 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251H1200X |
License Number: | 100811 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |