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General NPI Number Information
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NPI Number | 1437790177
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Entity Type | Organization
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Legal Business Name | PK & K THERAPIES. LLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 3930 NAAMAN SCHOOL RD STE D
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City | GARLAND
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State | TX
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Zip | 75040-0980
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Country | US
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Telephone | 469-814-8126
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Fax | 972-905-5516
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Provider Business Mailing Address
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Address Line | 3930 NAAMAN SCHOOL RD STE D
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City | GARLAND
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State | TX
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Zip | 75040-0980
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Country | US
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Telephone | 469-814-8126
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Fax | 972-905-5516
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Authorized Official
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Title or Position | OWNER
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Name | DAWN MARIE GRAY
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Credential | PT, DPT, CERT MDT
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Telephone | 469-814-8126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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