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Organization
THERAPEUTIC LIFESTYLE
Active
Organization
THERAPEUTIC LIFESTYLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WALTER DONNELLON P.T. (P.T/OWNER)
(956) 400-5877
Entity
Organization
Contact information
Practice address
904 LAS BRISAS DR, MISSION, TX 78574-0425
(956) 400-5877
(956) 424-3535
Mailing address
904 LAS BRISAS DR, MISSION, TX 78574-0425
(956) 400-5877
(956) 424-3535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1118529
TX
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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