Provider Demographics
NPI:1386866028
Name:DALLAS PHYSICAL THERAPY CENTER
Entity type:Organization
Organization Name:DALLAS PHYSICAL THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ESTER
Authorized Official - Last Name:ORLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:972-484-3220
Mailing Address - Street 1:3003 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE # 203
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7769
Mailing Address - Country:US
Mailing Address - Phone:972-484-3220
Mailing Address - Fax:972-484-2292
Practice Address - Street 1:3003 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE # 203
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7769
Practice Address - Country:US
Practice Address - Phone:972-484-3220
Practice Address - Fax:972-484-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010189174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty