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NPI Code Detail

MEDICARE: VELIA REYNA FREEMAN PTA

MEDICARE: VELIA REYNA FREEMAN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2105849TX

General Provider Information

NPI Number : 1568942456
Entity Type Code : Individual
Provider Name (Legal Business Name) : VELIA REYNA FREEMAN PTA
Provider Business Mailing Address
First Line : 316 GENERAL CAVAZOS BLVD
Second Line :
City : KINGSVILLE
State : TX
Zip : 78363-7245
Country : US
Telephone Number : 361-522-1598
Fax Number :
Provider Business Practice Location Address
First Line : 316 GENERAL CAVAZOS BLVD
Second Line :
City : KINGSVILLE
State : TX
Zip : 78363-7245
Country : US
Telephone Number : 361-522-1598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ VELIA REYNA FREEMAN PTA” Practice Location

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