Healthcare Provider Details

I. General information

NPI: 1851322721
Provider Name (Legal Business Name): ORTHOPEDIC MANUAL PHYSICAL THERAPY INSTITUTE OF DALLAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8144 WALNUT HILL LN STE 100
DALLAS TX
75231-4388
US

IV. Provider business mailing address

8144 WALNUT HILL LN STE 100
DALLAS TX
75231-4388
US

V. Phone/Fax

Practice location:
  • Phone: 214-346-0677
  • Fax:
Mailing address:
  • Phone: 214-346-0677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD D SILLIMAN
Title or Position: OWNER
Credential:
Phone: 214-346-0677