Faith Cafe Reddoch, PT
Physical Therapist in Portland, TX. Individual provider (NPI-1).
NPI number1295087435
StatusActive
Last updated in NPPESOct 12, 2012
Details
- NPI
- 1295087435
- Entity type
- Individual (NPI-1)
- Name
- Faith Cafe Reddoch
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2012
- Last updated
- Oct 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1080786 | TX | Yes |
Practice location
401 Northshore BlvdPortland, TX 78374-3800
Phone 361-643-3777
Mailing address
2222 Sullivan TrlEaston, PA 18040-7958
Phone 610-991-2034
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All 9 Physical Therapist providers in Portland · All 278 providers in Portland
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