Individual
EDUARDO ABELEDA LIBORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6755 PHELAN BLVD STE 28, BEAUMONT, TX 77706-6078
(409) 861-1009
(409) 861-4009
Mailing address
5957 9TH AVE, PORT ARTHUR, TX 77642-6204
(409) 982-8878
(409) 982-5119
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
05009675A
IN
225100000X
Physical Therapist
019088
NY
225100000X
Physical Therapist
Primary
1211528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03160161
—
NY
Enumeration date
10/02/2008
Last updated
12/20/2011
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