Individual
VICTORIA TERKISHIA FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KINESIOTHERAPIST
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(180) 092-4838
Mailing address
1201 EAST 9TH STREET, BONHAM, TX 75418-4059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
226300000X
VA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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