Individual
PROF. DEYDRE SMYTH TEYHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PHD, OCS
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8178
CO
2251X0800X
Orthopedic Physical Therapist
Primary
1099737
TX
Other
Enumeration date
11/16/2005
Last updated
04/18/2022
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