Individual
MR. SABU C PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
206 STORRS ST, ROCKWALL, TX 75087-4006
(972) 771-5000
Mailing address
5102 ALEXANDRIA DR, ROWLETT, TX 75088-6181
(469) 418-0017
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066941
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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