Provider Demographics
NPI:1750128773
Name:ALCASABAS, AMY MARGARET (DPT, PT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARGARET
Last Name:ALCASABAS
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3824 S CARRIER PKWY STE 490
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-6668
Mailing Address - Country:US
Mailing Address - Phone:817-858-0390
Mailing Address - Fax:817-858-0842
Practice Address - Street 1:1320 AIRPORT FWY STE A
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6777
Practice Address - Country:US
Practice Address - Phone:817-858-0390
Practice Address - Fax:817-858-0842
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPENDING225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist