Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Mar 15, 2007
License(s)
1075182 (TX), AC00723 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7155 SPANISH GRANT | Galveston, TX 77554-7755 | 409-996-8808 |
| LOCATION | 6217 CENTRAL CITY BLVD. | Galveston, TX 77551 | 409-996-8808 |
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