Individual
BESTIN MANAVALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4710 LEXINGTON BLVD, MISSOURI CITY, TX 77459-2800
(281) 499-4710
Mailing address
4710 LEXINGTON BLVD, MISSOURI CITY, TX 77459-2800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108300
TX
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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