Individual
DEDRA BORMANN KOLKHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 HIGHWAY 290 E, BRENHAM, TX 77833
(979) 337-5702
Mailing address
1400 PLEDGER RD, BRENHAM, TX 77833-7304
(979) 203-9595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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