Individual
CRAIG RANDALL PERILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
605 ROCKMEAD DRIVE, SUITE 200, KINGWOOD, TX 77339
(281) 348-9588
(281) 348-2150
Mailing address
2414 MILLS CREEK DR, HUMBLE, TX 77339-3095
(281) 358-7923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1116135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1116135
PHYSICAL THERAPY LICENSE
TX
Enumeration date
06/14/2006
Last updated
02/09/2009
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