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1033639877
JOHNEL VIDAD
HOUSTON, TX
NPI
1033639877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2060899)
Enumeration Date
2017-06-22
Last Update Date
2017-06-23
Business Address
Mr. JOHNEL VIDAD PTA
16820 WEST RD
HOUSTON, TX 77095-5577
Phone number: 832-212-0770
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Mailing Address
Mr. JOHNEL VIDAD PTA
16820 WEST RD # 3
HOUSTON, TX 77095-5577
Phone number: 281-856-7008
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