Individual
CHRIS CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3529 COUNTY ROAD 3512, DIKE, TX 75437-3485
(903) 335-4628
Mailing address
3529 COUNTY ROAD 3512, DIKE, TX 75437-3485
(903) 335-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138233
TX
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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