NPI age
16 years
Enumerated 2010-04-01
Across 16582 active physical therapist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 070017044 | STATE LICENSE NUMBER |
| 01 (TX) | 1317255 | PHYSICAL THERAPY LICENSE |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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