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Individual

MRS. COLLEEN ANN RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1095818
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058667905
TX
01
1095818
P.T. LICENSE
TX
01
874T14
BC/BS PROVIDER #
TX
01
P00782884
RAILROAD MEDICARE #
TX
01
PO1194044
RAILROAD MEDICARE #
TX
Enumeration date
11/29/2006
Last updated
09/05/2013
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