person
Ms. Norma R Antedomenico, PT
Orthopedic Physical Therapist in Pottsboro, Texas
NPI 1023029568

Norma R Antedomenico is a Orthopedic Physical Therapist based in Pottsboro, TX and is specialized in Orthopedic. Norma R Antedomenico practices in Pottsboro, TX and has the professional credentials of PT. The NPI Number for Norma R Antedomenico is 1023029568 and holds a License No. 1122265 (Texas).

The current practice location address for Norma R Antedomenico is 275 Applecross Ln, Pottsboro, TX and can be reached out via phone at 940-300-5953.

Location: 275 Applecross Ln, Pottsboro, TX, 75076-3809
person
Provider Profile Details
NPI Number
1023029568
Provider Name
Norma R Antedomenico
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
275 Applecross Ln, Pottsboro, TX, 75076-3809
Phone Number
940-300-5953
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8T4408 01 TX BLUE CROSS PROVIDER NUMBE
456619 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
275 Applecross Ln
City
State
Zip
75076-3809
Phone Number
940-300-5953
Fax Number
person
Provider Business Mailing Address Details
Address
275 Applecross Ln
City
State
Zip
75076-3809
Phone Number
940-300-5953
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
1122265 (Texas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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