Healthcare Provider Details

I. General information

NPI: 1710918750
Provider Name (Legal Business Name): MAJOE C OLFINDO LPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16630 IMPERIAL VALLEY DR SUITE 115
HOUSTON TX
77060-3409
US

IV. Provider business mailing address

15109 MORNING PINE LN
HOUSTON TX
77068-3809
US

V. Phone/Fax

Practice location:
  • Phone: 281-260-0087
  • Fax: 281-260-0676
Mailing address:
  • Phone: 281-580-3461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1032092
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: