Individual
COLIN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2224 WHITEWATER DR, BERTRAM, TX 78605-4173
(512) 680-4320
Mailing address
2224 WHITEWATER DR, BERTRAM, TX 78605-4173
(512) 680-4320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138881
TX
Other
Enumeration date
05/25/2019
Last updated
05/25/2019
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