Individual
THERESA HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5240R AVIE LN, BEAUMONT, TX 77708-3818
(409) 880-5122
Mailing address
5240R AVIE LN, BEAUMONT, TX 77708-3818
(409) 880-5122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1018307
TX
2251P0200X
Pediatric Physical Therapist
Primary
1018307
TX
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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