Individual
AILEEN RHODA DESQUITADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
400 N STATE HIGHWAY 360 APT 724, MANSFIELD, TX 76063-3584
(573) 703-6651
Mailing address
400 N STATE HIGHWAY 360 APT 724, MANSFIELD, TX 76063-3584
(573) 703-6651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1244577
TX
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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