Doctor Name: | MARY CONDON |
NPI Number: | 1952697864 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1067379 |
Business Practice Address: | 1650 Republic Parkway Suite 103 Mesquite, TX - 75150 |
Business Phone Number: | 9726981140 |
Business Fax Number: | |
Mailing Address: | 8410 Chadbourne Road, DALLAS |
State: | TX |
Postal Code: | 75209 |
Phone Number: | 2143511174 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2011 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1067379 |
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 |