Individual
CHRISTOPHER LEE POUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, PT, DPT
Contact information
Practice address
147 BISCAYNE DR, CEDAR HILL, TX 75104-1363
(251) 605-4457
Mailing address
147 BISCAYNE DR, CEDAR HILL, TX 75104-1363
(251) 605-4457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1215176
TX
225X00000X
Occupational Therapist
113972
TX
Other
Enumeration date
11/04/2009
Last updated
03/29/2012
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