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NPI Code Detail

MEDICARE: ENDRANGE PHYSICAL THERAPY, PLLC

MEDICARE: ENDRANGE PHYSICAL THERAPY, PLLC
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 Therapist

General Provider Information

NPI Number : 1356297758
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDRANGE PHYSICAL THERAPY, PLLC
Provider Business Mailing Address
First Line : 610 SEVILLA DR
Second Line :
City : GARLAND
State : TX
Zip : 75043-5140
Country : US
Telephone Number : 214-850-7510
Fax Number :
Provider Business Practice Location Address
First Line : 610 SEVILLA DR
Second Line :
City : GARLAND
State : TX
Zip : 75043-5140
Country : US
Telephone Number : 214-850-7510
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : DR. GABRIELLE CORDERO
Credential : PT, DPT, SMTC, CLT
Telephone Number : 214-850-7510
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ENDRANGE PHYSICAL THERAPY, PLLC ” Practice Location

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