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NPI Code Detail

MEDICARE: COLETTE PIENTOK PT

MEDICARE: COLETTE PIENTOK PT
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 Therapist1039410TX

General Provider Information

NPI Number : 1801934641
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLETTE PIENTOK PT
Provider Business Mailing Address
First Line : 3651 WESLAYAN ST STE 110
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6638
Country : US
Telephone Number : 713-850-8472
Fax Number : 713-850-8472
Provider Business Practice Location Address
First Line : 3651 WESLAYAN ST STE 110
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6638
Country : US
Telephone Number : 713-850-8472
Fax Number : 713-850-8472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/31/2020

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Directions to “ COLETTE PIENTOK PT” Practice Location

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