Individual
MICHAEL G. JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, LAT, ATC
Contact information
Practice address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3499
(979) 776-0169
(979) 776-1372
Mailing address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3499
(979) 776-0169
(979) 776-1372
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1032357
TX
2251X0800X
Orthopedic Physical Therapist
1032357
TX
2255A2300X
Athletic Trainer
AT0961
TX
Other
Enumeration date
09/08/2008
Last updated
07/27/2020
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