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1124747050
CALEB WILLIS
WEBSTER, TX
NPI
1124747050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2141147)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
Mr. CALEB WILLIS PTA
409 GREENE ST
WEBSTER, TX 77598-6701
Phone number: 281-332-4738
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Mailing Address
Mr. CALEB WILLIS PTA
9 MIRA LOMA DR
MANVEL, TX 77578-3347
Phone number: 903-279-8531
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