Individual
CHANDA REBURIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E 29TH ST, APT 1102, BRYAN, TX 77802-1400
(979) 402-7175
Mailing address
1525 E 29TH ST, APT 1102, BRYAN, TX 77802-1400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1275972
TX
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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