Kendall Nicole Delue, PTA
Physical Medicine & Rehabilitation in Conroe, TX. Individual provider (NPI-1).
NPI number1730957671
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1730957671
- Entity type
- Individual (NPI-1)
- Name
- Kendall Nicole Delue
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2156387 | TX | Yes |
Practice location
15210 Interstate 45 S Ste 108Conroe, TX 77384-4967
Phone 832-702-7272
Mailing address
15210 Interstate 45 S Ste 108Conroe, TX 77384-4967
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