Individual
PERRY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
12317 MURANO DR, TEXAS CITY, TX 77568-2555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150710
TX
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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