Individual
STEVE SHELDON CABASAG BONGCAWEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 216-9199
Mailing address
903 WRIGHT ST, LLANO, TX 78643-2330
(806) 802-9198
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1242832
TX
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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