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Individual

DUSTIN MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4009 BELLAIRE BLVD, SUITE M, HOUSTON, TX 77025-1168
(713) 839-7800
(713) 839-7931
Mailing address
9000 SOUTHWEST FWY, SUITE 250, HOUSTON, TX 77074-1526
(713) 779-5800
(713) 779-5885

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1209017
TX

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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