| Nathan Drew Wibisono, PT, DPT | |
|
4701 W Parker Rd # 625, Plano, TX 75093-3376 | |
| (972) 398-2555 | |
| Not Available |
| Full Name | Nathan Drew Wibisono |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4701 W Parker Rd # 625, Plano, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922782606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1377813 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Drew Wibisono, PT, DPT 221 Chestnut Ln, Coppell, TX 75019-2113 Ph: (469) 556-8553 | Nathan Drew Wibisono, PT, DPT 4701 W Parker Rd # 625, Plano, TX 75093-3376 Ph: (972) 398-2555 |
Shara Hilary Cummings, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4001 W 15th St, Plano, TX 75093 Phone: 972-979-6577 | |
Malavika Venkataraman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3208 Thunderbird Ln, Plano, TX 75075 Phone: 972-422-2214 | |
Kathleen Oliva, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Los Rios Blvd Ste 132, Plano, TX 75074 Phone: 972-509-5070 Fax: 972-509-1557 | |
Thomas Alan Domino, PT, SCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr Ste 110, Plano, TX 75093 Phone: 972-985-2622 | |
Kendra Lee Pike, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr, Suite 110, Plano, TX 75093 Phone: 972-985-2622 | |
Gayle Talley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7709 San Jacinto Pl # 203, Plano, TX 75024 Phone: 469-331-0030 | |
Mr. Bruce Anthony Lamotte Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5765 Bozeman Dr Apt 1205, Plano, TX 75024 Phone: 817-223-4501 |