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NPI Code Detail

MEDICARE: NADA SHEBREIA B.S., PTA

MEDICARE:   NADA  SHEBREIA  B.S., 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
1225200000XPhysical Therapy Assistant2168489TX

General Provider Information

NPI Number : 1801770177
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADA SHEBREIA B.S., PTA
Provider Business Mailing Address
First Line : 2634 PELAW LN
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-8931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7929 BROOKRIVER DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4900
Country : US
Telephone Number : 817-715-1151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2025
Last Update Date : 08/01/2025

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Directions to “ NADA SHEBREIA B.S., PTA” Practice Location

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