NPI 1609358365 · live from the CMS NPI Registry
Lady Fair Abaya
Physical Therapist in Irving, TX. National Provider Identifier 1609358365, active.
NPI record
| NPI | 1609358365 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2101 W Northgate Dr, Irving, TX 75062 |
| Practice phone | 972-255-4460 |
| Mailing address | 9416 Lake Ct, Irving, TX 75063 |
| Enumerated | August 29, 2018 |
| Last updated | August 29, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 1077030 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.