NPI age
19 years
Enumerated 2007-02-28
Across 1225 active clinic/center providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1456642-01 | |
| 01 (TX) | 1017051 | PHYSICAL THERAPIST LIC # |
Multi-provider organization. 1 individual provider on file at this primary address.
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