Individual
JEREMY GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 SANDSTONE TRL, BUDA, TX 78610-5889
(419) 564-1225
Mailing address
108 SANDSTONE TRL, BUDA, TX 78610-5889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2078158
TX
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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