Individual
RAYMOND LUCILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
3818 DECKER DR, BAYTOWN, TX 77520-1662
(281) 424-7557
(281) 424-7567
Mailing address
3818 DECKER DR, BAYTOWN, TX 77520-1662
(281) 424-7557
(281) 424-7567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098090
TX
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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