Doctor Name: | SHELBY CELESTE PANZINO |
NPI Number: | 1336598382 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3119027 |
Business Practice Address: | 3824 S Carrier Pkwy Ste 470 Grand Prairie, TX - 750526644 |
Business Phone Number: | 9722629972 |
Business Fax Number: | 9722629986 |
Mailing Address: | 3824 S Carrier Pkwy, Ste 470 GRAND PRAIRIE |
State: | TX |
Postal Code: | 750526644 |
Phone Number: | 9722629972 |
Fax Number: | 9722629986 |
NPI Enumeration Date: | 06/10/2016 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3119027 |
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 |