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NPI Code Detail

MEDICARE: MELINDA ELIZABETH CANTU P.T.

MEDICARE:   MELINDA ELIZABETH CANTU  P.T.
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
1225100000XPhysical Therapist1152869TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11152869OTHERTXPT LICENSE #

General Provider Information

NPI Number : 1881796423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA ELIZABETH CANTU P.T.
Provider Business Mailing Address
First Line : 809 WOODBRIDGE PKWY # 500-414
Second Line :
City : WYLIE
State : TX
Zip : 75098-7148
Country : US
Telephone Number : 214-734-2046
Fax Number : 972-429-1145
Provider Business Practice Location Address
First Line : 2011 N COLLINS BLVD # 601
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2636
Country : US
Telephone Number : 214-734-2046
Fax Number : 972-429-1145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 05/02/2025

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Directions to “ MELINDA ELIZABETH CANTU P.T.” Practice Location

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