Individual
STEPHEN LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5288 CANFIELD LN, FORNEY, TX 75126-4029
(469) 855-9538
Mailing address
5288 CANFIELD LN, FORNEY, TX 75126-4029
(469) 855-9538
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2106506
TX
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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