MEDICARE: MRS. AIMEE LOUISE FERRELL P.T.

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
1	225100000X	Physical Therapist	1032043	TX

General Provider Information

NPI Number	:	1679854871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AIMEE LOUISE FERRELL P.T.

Provider Business Mailing Address
First Line	:	8580 WOODWAY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2423
Country	:	US
Telephone Number	:	281-606-0475
Fax Number	:

Provider Business Practice Location Address
First Line	:	8580 WOODWAY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2423
Country	:	US
Telephone Number	:	281-606-0475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2011
Last Update Date	:	08/31/2011

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