Provider Demographics
NPI:1083833974
Name:PALOMA, MARIA LINDA (RPT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA LINDA
Middle Name:
Last Name:PALOMA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:PALOMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPT
Mailing Address - Street 1:3630 CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0806
Mailing Address - Country:US
Mailing Address - Phone:469-362-2595
Mailing Address - Fax:
Practice Address - Street 1:7 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7823
Practice Address - Country:US
Practice Address - Phone:972-888-7152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1079242225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist