Individual
BRUCE HENEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3434 WATTERS RD, PASADENA, TX 77504-2015
(937) 423-5198
Mailing address
3434 WATTERS RD, PASADENA, TX 77504-2015
(937) 423-5198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2099628
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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