LONE STAR PHYSICAL THERAPY, P.C.
Physical Therapy at Central Expy, Dallas, TX

License number
Texas 670770000
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: JEANA FULENWIDER PT, DPT
Title: PRESIDENT
Phone: (214) 884-9695
Address
Address
10300 N Central Expy STE 171, Dallas, TX 75231
National Provider ID: 1114212065
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LONE STAR PHYSICAL THERAPY, PC

Dallas, TX

Industry:
Health Practitioner's Office
Doing business as:
Lone Star Physical Therapy, PC
Registration:
May 18, 2011
Addresses:
10455 N Central Expy #109-122, Dallas, TX 75231 (Mailing)
10300 N Central Expy, Dallas, TX 75231
State ID:
0801426881
Business type:
Domestic Professional Corporation
DIRECTOR, Director, President:
Jeana Fulenwider (DIRECTOR, Director, President), 10455 N Central Expy #109-1, Dallas, TX 75231
TIN:
32044277468

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