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Individual

ROGELIO PULIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
702 ED CAREY DR., HARLINGEN, TX 78550-7914
(956) 440-1155
Mailing address
55 CALLE CENIZO, BROWNSVILLE, TX 78520-7401
(479) 220-9894

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1249607
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1249607
TEXAS STATE LICENSE
TX
Enumeration date
03/30/2015
Last updated
11/07/2016
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