Individual
ESTIE FISHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(301) 785-6650
Mailing address
226 KENSINGTON DR, CIBOLO, TX 78108-3451
(301) 785-6650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150721
TX
225200000X
Physical Therapy Assistant
2306606044
VA
225200000X
Physical Therapy Assistant
A3497
MD
Other
Enumeration date
01/05/2022
Last updated
07/22/2024
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