Individual
DAVID FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6211 EDLOE ST, HOUSTON, TX 77005-2819
(713) 661-5800
(713) 661-5800
Mailing address
6211 EDLOE ST, HOUSTON, TX 77005-2819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097936
TX
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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