Individual
EREDIO CELESTINO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11109 SIGNAL WAY APT 3314, STAFFORD, TX 77477-1499
(732) 882-4506
Mailing address
11109 SIGNAL WAY APT 3314, STAFFORD, TX 77477-1499
(732) 882-4506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1403121
TX
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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