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NPI Code Detail

MEDICARE: NATALIE M STANISLAV

MEDICARE: NATALIE M STANISLAV
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 : 1992585764
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATALIE M STANISLAV
Provider Business Mailing Address
First Line : 3035 CIMARRON PASS DR
Second Line :
City : SPRING
State : TX
Zip : 77373-8647
Country : US
Telephone Number : 972-965-9353
Fax Number :
Provider Business Practice Location Address
First Line : 3035 CIMARRON PASS DR
Second Line :
City : SPRING
State : TX
Zip : 77373-8647
Country : US
Telephone Number : 972-965-9353
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : NATALIE M STANISLAV
Credential : PT, DPT
Telephone Number : 972-965-9353
Provider Enumeration Date : 09/29/2023
Last Update Date : 09/29/2023

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Directions to “NATALIE M STANISLAV ” Practice Location

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