Individual
KELLY MUTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
910 N HIGHWAY 146, STE. A, BAYTOWN, TX 77520-2252
(281) 837-7571
(281) 837-7573
Mailing address
910 N HIGHWAY 146, STE. A, BAYTOWN, TX 77520-2252
(281) 837-7571
(281) 837-7573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2103417
TX
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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