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1952166241
PHILLIP MICHAEL LIGHT
SAN ANTONIO, TX
NPI
1952166241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1389403)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
PHILLIP MICHAEL LIGHT PT, DPT
3875 E SOUTHCROSS BLVD STE B
SAN ANTONIO, TX 78222-3521
Phone number: 210-337-7953
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Mailing Address
PHILLIP MICHAEL LIGHT PT, DPT
12413 JUDSON RD STE 260
LIVE OAK, TX 78233-3262
Phone number: 210-337-7953
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