Individual
DOROTHY MARYMAY WISDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
3023 MARINA BAY DR STE 105, LEAGUE CITY, TX 77573-2882
(281) 549-6404
(832) 864-2580
Mailing address
3023 MARINA BAY DR STE 105, LEAGUE CITY, TX 77573-2882
(281) 549-6404
(832) 864-2580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1071686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071686
PHYSICAL THERAPY LISCENSE
TX
Enumeration date
02/13/2020
Last updated
02/13/2020
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