Provider Demographics
NPI:1396033585
Name:NAUYOKAS, CORA DEMOTT (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CORA
Middle Name:DEMOTT
Last Name:NAUYOKAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 451
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0806
Mailing Address - Country:US
Mailing Address - Phone:214-397-1570
Mailing Address - Fax:214-361-2675
Practice Address - Street 1:9301 N CENTRAL EXPY
Practice Address - Street 2:SUITE 451
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:214-397-1570
Practice Address - Fax:214-361-2675
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1209222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist