Individual
JUAN P CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6213 SKYLINE DR, HOUSTON, TX 77057-7036
(713) 880-4400
Mailing address
1122 BERKLEY AVE, DALLAS, TX 75224-1219
(281) 536-3051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2056009
TX
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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