NPI age
12 years
Enumerated 2014-02-27
Across 16582 active physical therapist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 070015658 | ILLINOIS PT LICENSE (EXPIRED) |
| 01 (AL) | PTH6359 | ALABAMA PT LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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