ProviderBusinessMailingAddressFaxNumber = '9724423181'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1932131455
PEAK PHYSICAL THERAPY & SPORTS MEDICINE OF WYLIE
611 W BROWN ST STE 101
WYLIE
TX
750985816
1235152117
BROAD
EDWARD
RICHARD
611 W BROWN ST
WYLIE
TX
75098
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