Individual
CARRIE E SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
873 C EVA ST, MONTGOMERY, TX 77356-1808
(936) 597-5323
(936) 597-8914
Mailing address
873 C EVA ST, MONTGOMERY, TX 77356-1808
(936) 597-5323
(936) 597-8914
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1120434
TX
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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