Individual
REBECCA BALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
721 W MULBERRY ST, ANGLETON, TX 77515-4239
(979) 848-0279
Mailing address
504 CENTER WAY ST, LAKE JACKSON, TX 77566-5404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2124296
TX
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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