Individual
PHILIP LAWRENCE IMBODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KINESIOTHERAPIST
Contact information
Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5768
(830) 896-2020
Mailing address
2162 FOREST TRAIL DR, BANDERA, TX 78003-3727
(830) 796-3601
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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