Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jun 2, 2008
License(s)
1148017 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2222 SULLIVAN TRL | Easton, PA 18040-7958 | |
| LOCATION | 13505 WEBB CHAPEL RD | Farmers Branch, TX 75234-5074 | 972-214-3905 |
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