Individual
MR. ANTONINO EDMOND IANNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2400 AUGUSTA DR STE 155, HOUSTON, TX 77057-4922
(713) 622-2929
(713) 622-2922
Mailing address
2400 AUGUSTA DR STE 155, HOUSTON, TX 77057-4922
(713) 622-2929
(713) 622-2922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1149730
TX
Other
Enumeration date
05/09/2006
Last updated
02/16/2018
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