Individual
AILEEN TABOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
605 DONNIE AVE, KILLEEN, TX 76541-8918
(254) 634-8505
Mailing address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 519-3477
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3109398
TX
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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