Individual
SAMUEL JOHN GILBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2401 DEVELOPMENT BLVD, BELLMEAD, TX 76705-2903
(254) 296-8987
Mailing address
PO BOX 24043, WACO, TX 76702-4043
(254) 315-7994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121599
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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