Individual
CHALICE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 821-7327
Mailing address
2411 DE LEE ST APT 4, BRYAN, TX 77802-2855
(979) 665-9015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2156939
TX
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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