Search › Texas › 225100000X
Nathan Wibisono, PT, DPT
NPI 1922782606 · on the registry since 2023
Practice
- Address
- 4701 W Parker Rd # 625
Plano, TX 75093 - Phone
- (972) 398-2555
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas