Kito Phansana PTA

NPI 1780850461 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1780850461
Gender Male
Enumeration Date 05/02/2008
Last Updated 05/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
21939 CINCO RANCH BLVD
KATY TX, 77450-1779, US
Phone (281) 240-0500
Fax
Business Location
2222 SULLIVAN TRL
EASTON PA, 18040-7958, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Texas
License Number 2046159
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According to our database, Kito Phansana PTA NPI is 1780850461, taxonomy code is 225200000X and license number is 2046159, license state is located at Texas. Kito Phansana PTA physically located at 21939 Cinco Ranch Blvd, Katy TX, 77450-1779. NPI Number Kito Phansana PTA has the Individual type.

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1780850461 NPI number is provided on an as is basis without warranty of any kind. 1780850461 is maintained by the National Plan & Provider Enumeration System. The contents of Kito Phansana PTA are for informational purposes only.