Individual
ALLEN EDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5957 9TH AVE, PORT ARTHUR, TX 77642-6204
(409) 982-8878
(409) 982-5119
Mailing address
5957 9TH AVE, PORT ARTHUR, TX 77642-6204
(409) 982-8878
(409) 724-7871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1116853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071672
—
TX
Enumeration date
10/11/2006
Last updated
04/11/2012
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