Carrie E Self PT

NPI 1003985995 - Physical Therapist - 2251X0800X

NPI Details
NPI 1003985995
Gender Female
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
873 C EVA ST
MONTGOMERY TX, 77356-1808, US
Phone (936) 597-5323
Fax (936) 597-8914
Business Location
873 C EVA ST
MONTGOMERY TX, 77356-1808, US
Phone (936) 597-5323
Fax (936) 597-8914
Toxanomy
Taxonomy Code 2251X0800X
License State Texas
License Number 1120434
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According to our database, Carrie E Self PT NPI is 1003985995, taxonomy code is 2251X0800X and license number is 1120434, license state is located at Texas. Carrie E Self PT physically located at 873 C Eva St, Montgomery TX, 77356-1808. NPI Number Carrie E Self PT has the Individual type.

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1003985995 NPI number is provided on an as is basis without warranty of any kind. 1003985995 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie E Self PT are for informational purposes only.