Individual
MRS. ANNETTE GAYLE TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
409 GREENE ST, WEBSTER, TX 77598-6701
(281) 332-4738
Mailing address
7110 HOLLY BAY CT, PASADENA, TX 77505-6400
(713) 705-2939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1050615
TX
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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