Individual
AIRIEL D SANANIKONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1718 FRY RD STE 335, HOUSTON, TX 77084-5849
(281) 492-2828
(281) 492-2825
Mailing address
13202 BRIAR FOREST DR. APT # 1108, HOUSTON, TX 77077
(318) 447-2167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1201550
TX
Other
Enumeration date
11/04/2010
Last updated
05/15/2012
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