Doctor Name: | MS. COREY DIETRICH ULRICH |
NPI Number: | 1073681227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MSPT |
License Number: | 1125342 |
Business Practice Address: | 400 W Arbrook Blvd Suite 151 Arlington, TX - 760143181 |
Business Phone Number: | 8174728383 |
Business Fax Number: | 8174728386 |
Mailing Address: | 966 N Garden Ridge Blvd, Suite 530 LEWISVILLE |
State: | TX |
Postal Code: | 750772876 |
Phone Number: | 9724206605 |
Fax Number: | 9724362770 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1125342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |