Doctor Name: | DEBRA MASSAD CONDRA |
NPI Number: | 1396890893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1131829 |
Business Practice Address: | 1111 W Shore Dr Richardson, TX - 750804046 |
Business Phone Number: | 9726641933 |
Business Fax Number: | |
Mailing Address: | 1123 Wildwood Ln, RICHARDSON |
State: | TX |
Postal Code: | 750806933 |
Phone Number: | 9724379388 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1131829 |
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 |