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Individual

MRS. SUSAN THOMSON BIANCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2755 CHESTNUT RIDGE DR, UNIT 3, KINGWOOD, TX 77339-2497
(281) 312-0364
Mailing address
2755 CHESTNUT RIDGE DR, UNIT 3, KINGWOOD, TX 77339-2497
(281) 312-0364

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2009197
TX

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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