Individual
KARLI SHUPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 W SAYLES ST, BRENHAM, TX 77833
(979) 836-9770
Mailing address
5495 COUNTY ROAD 146, SOMERVILLE, TX 77879-6192
(979) 820-1372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2176674
TX
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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