Individual
KENNETH PETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6731 STELLA LINK RD, HOUSTON, TX 77005-4342
(713) 662-9900
(713) 662-9919
Mailing address
3209 BERRY ST, HOUSTON, TX 77004-4607
(832) 896-1035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4057597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437334182
—
TX
Enumeration date
07/17/2017
Last updated
07/17/2017
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