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NPI Code Detail

MEDICARE: FAFA ABOTCHIE PT, DPT

MEDICARE:   FAFA  ABOTCHIE  PT, DPT
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
1225100000XPhysical TherapistCP017424TLA
2225100000XPhysical Therapist1346831TX

General Provider Information

NPI Number : 1578131157
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAFA ABOTCHIE PT, DPT
Provider Business Mailing Address
First Line : 15201 MASON RD STE 800
Second Line :
City : CYPRESS
State : TX
Zip : 77433-5978
Country : US
Telephone Number : 713-609-9224
Fax Number : 713-324-7751
Provider Business Practice Location Address
First Line : 15201 MASON RD STE 800
Second Line :
City : CYPRESS
State : TX
Zip : 77433-5978
Country : US
Telephone Number : 713-609-9224
Fax Number : 713-324-7751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 01/12/2023

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Directions to “ FAFA ABOTCHIE PT, DPT” Practice Location

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