Individual
KYLIE NOBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 S LOOP 336 W STE 120, CONROE, TX 77304-3320
(936) 270-6020
Mailing address
2618 WINDING CREEK WAY, CONROE, TX 77385-8005
(936) 647-6704
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2169629
TX
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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