Individual
DARLA BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1504 BUCKINGHAM DR, ORANGE, TX 77632-0425
(409) 779-2222
Mailing address
1504 BUCKINGHAM DR, ORANGE, TX 77632-0425
(409) 779-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1055762
TX
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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