MEDICARE: DAYEE BRONIEK PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2039998	TX

General Provider Information

NPI Number	:	1457923609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYEE BRONIEK PTA

Provider Business Mailing Address
First Line	:	2001 DOWNING ST
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-4691
Country	:	US
Telephone Number	:	214-662-4859
Fax Number	:

Provider Business Practice Location Address
First Line	:	3690 MAPLESHADE LN
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5715
Country	:	US
Telephone Number	:	972-985-0220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2021
Last Update Date	:	07/15/2021

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Directions to “ DAYEE BRONIEK PTA” Practice Location

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