Miguel Repress Valid NPI

Individual provider · Physical Therapist · Longview, TX

NPI

1659649937

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

1127587 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-12-01

Last updated

2011-12-01