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1003930645
REGINA STALLWORTH
GALVESTON, TX
NPI
1003930645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1165580)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- REGINA STALLWORTH
1528 POST OFFICE ST
GALVESTON, TX 77550-4833
Phone number: 409-762-6661
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Mailing Address
-- REGINA STALLWORTH
1 SIGNATURE POINT DR APT 912
LEAGUE CITY, TX 77573
Phone number: 713-775-3398
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