OrganizationActive
Ptac PLLC
NPI 1396468047 · Clinical Electrophysiology Physical Therapist · Coppell, TX
Provider details
- NPI number
- 1396468047
- Entity type
- Organization
- Primary specialty
- Clinical Electrophysiology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Marchese, Practice Administrator(214) 205-4995
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
456 E Sandy Lake Rd Ste 110
Coppell, TX 75019-2911
Phone: (972) 393-8067
Fax: (972) 638-8567
Approximate (ZIP-level) locationGet directions
Mailing address
456 E Sandy Lake Rd Ste 110
Coppell, TX 75019-2911
Registry dates
- Enumerated
- 2022-09-19
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.