Individual
AMANDA TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
523 COUNTY ROAD 336, KIRBYVILLE, TX 75956-3666
(619) 985-1227
Mailing address
523 COUNTY ROAD 336, KIRBYVILLE, TX 75956-3666
(619) 985-1227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1140853
TX
225100000X
Physical Therapist
PT 27680
CA
Other
Enumeration date
07/19/2006
Last updated
12/18/2021
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