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Organization

ADVANCED FUNCTIONAL REHAB

Active
Other names
Advanced Functional Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PLESHETTE B JOHNSON-WIGGINS D.C. (PARTNER)
(281) 410-8750
Entity
Organization

Contact information

Practice address
5959 WEST LOOP S, SUITE 250, BELLAIRE, TX 77401-2421
(281) 410-8750
(281) 709-6797
Mailing address
17424 W GRAND PKWY S, SUITE 521, SUGAR LAND, TX 77479-2564
(281) 410-8750
(281) 709-6797

Taxonomy

Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
9316
TX

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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