Individual
BRENDA ALTAMIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 W 2ND AVE, CORSICANA, TX 75110-3702
(903) 874-7433
Mailing address
3708 NORTHPARK DR, CORSICANA, TX 75110-1331
(214) 718-2109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1379238
TX
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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