Individual
FRED PAUL REUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 SUNNY LN, WHARTON, TX 77488-3300
(979) 532-5020
Mailing address
1220 SUNNY LN, WHARTON, TX 77488-3300
(979) 541-9825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2027837
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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