Individual
MICHAEL ONG CONSOLACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17806 FOLLY POINT DR, CYPRESS, TX 77429-5619
(832) 454-0323
Mailing address
17806 FOLLY POINT DR, CYPRESS, TX 77429-5619
(832) 454-0323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2169108
TX
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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