Individual
REGINE PANELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CDP
Contact information
Practice address
1720 N LOGAN ST, TEXAS CITY, TX 77590-4931
(409) 943-4914
Mailing address
4811 E SAM HOUSTON PKWY S APT 1321, PASADENA, TX 77505-3978
(409) 960-9617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2132775
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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