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NPI 1952162075

NPI 1952162075 : ELISE BOND DPT : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1952162075
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    Entity Type          |    Individual 
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    Provider Name        |    ELISE BOND DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/16/2024
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    Last Update Date     |    08/16/2025
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Provider Practice Location Address
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    Address Line         |    18648 MCKAY DR STE 210 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-5724
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    Country              |    US
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    Telephone            |    281-540-0307
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    520 COVENTRY ST 
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    City                 |    BULLARD
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    State                |    TX
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    Zip                  |    75757-5424
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PTL27740
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1365154
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    License Number State |    TX
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