Individual provider · NPI-1

Jiju Mylackal Abraham, MPT

Physical Therapist · Houston, TX

NPI number1871701052
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1871701052
Entity type
Individual (NPI-1)
Name
Mr. Jiju Mylackal Abraham
Credential
MPT
Sex
Male
Sole proprietor
Yes
Enumeration date
May 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1154710TXYes

Practice location

2939 Woodland Park Dr
Houston, TX 77082-2687

Phone 281-870-9100

Mailing address

1515 Waterwood Ct
Missouri City, TX 77459-1725

Phone 713-443-4681

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