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Individual

ROBERT FREEMAN FEWKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, MOTR/L

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(801) 556-6298
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
1279000
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
117009
TX
225XP0200X
Pediatric Occupational Therapist
117009
TX

Other

Enumeration date
10/23/2017
Last updated
05/10/2023
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