Individual
SAMRAWIT SISAY MENGISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2010 RED WREN CIR, KATY, TX 77494-7108
(773) 751-9848
Mailing address
2010 RED WREN CIR, KATY, TX 77494-7108
(773) 751-9848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2157658
TX
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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