NPI 1497059257 · live from the CMS NPI Registry
Melissa Breanne Abraham, DPT
Physical Therapist in Southlake, TX. National Provider Identifier 1497059257, active.
NPI record
| NPI | 1497059257 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 731 E Southlake Blvd, Suite 150, Southlake, TX 76092 |
| Practice phone | 817-442-8600 |
| Enumerated | January 7, 2011 |
| Last updated | January 7, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 1201400 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.