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Organization
THORELL ENTERPRISES LLC
Active
Organization
THORELL ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN C THORELL (OWNER)
(936) 597-5323
Entity
Organization
Contact information
Practice address
20873 EVA ST STE C, MONTGOMERY, TX 77356-1975
(936) 597-5323
(936) 597-8914
Mailing address
20873 EVA ST STE C, MONTGOMERY, TX 77356-1975
(936) 597-5323
(936) 597-8914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1053957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083761530
—
TX
Enumeration date
12/20/2017
Last updated
03/17/2018
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