Individual
MRS. KATLYN ALICE DEAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, BS
Contact information
Practice address
103 DAVIS RD STE M, LEAGUE CITY, TX 77573-2769
(281) 383-6777
Mailing address
103 DAVIS RD STE M, LEAGUE CITY, TX 77573-2769
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2132236
TX
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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