Individual
ABRAHAM PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 MEDICAL PKWY, LAKEWAY, TX 78738-5632
(210) 848-9082
Mailing address
6303 SIENNA RANCH RD APT 3111, MISSOURI CITY, TX 77459-4790
(845) 269-9530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2159534
TX
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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