Individual
MRS. CAROL JEAN BLUDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
624 N CONVERSE ST, FLATONIA, TX 78941-2535
(361) 865-3469
(361) 865-3469
Mailing address
598 COUNTY ROAD 445, HALLETTSVILLE, TX 77964-5426
(361) 649-0499
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2031144
TX
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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