Individual provider · NPI-1

Carlo Clement Brual

Physical Therapist · Conroe, TX

NPI number1831986975
StatusActive
Last updated in NPPESApr 22, 2025

Details

NPI
1831986975
Entity type
Individual (NPI-1)
Name
Carlo Clement Brual
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 22, 2025
Certification date
Apr 22, 2025
Last updated
Apr 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1189931TXYes
225100000X Physical Therapist18106MA

Practice location

9931 Beautyberry
Conroe, TX 77385-5607

Phone 508-808-3771 · Fax 508-863-9737

Mailing address

9931 Beautyberry
Conroe, TX 77385-5607

Phone 508-863-9737

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