Individual
JAMES DATTILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 SPENCER HWY STE F, PASADENA, TX 77504-1250
(713) 943-8573
Mailing address
2423 TALL SHIPS DR, FRIENDSWOOD, TX 77546-2306
(281) 996-8680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042984
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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