Individual
GLADYS QUIDLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 78520-8268
(956) 541-2102
(956) 541-2502
Mailing address
871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 78520-8268
(956) 541-2102
(956) 541-2502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2128356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128356
STATE LICENSE
TX
Enumeration date
05/11/2017
Last updated
05/11/2017
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