Individual
EARL DIMAANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
529 GASLIGHT BLVD, LUFKIN, TX 75904-3127
(936) 404-7167
Mailing address
529 GASLIGHT BLVD, LUFKIN, TX 75904-3127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1226646
TX
Other
Enumeration date
02/13/2019
Last updated
04/12/2024
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