Individual
CLINTON JAY TITONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19200 SPACE CENTER BLVD APT 1623, HOUSTON, TX 77058-3852
(575) 644-3269
Mailing address
19200 SPACE CENTER BLVD APT 1623, HOUSTON, TX 77058-3852
(575) 644-3269
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2131050
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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