Vicky Pavelka

NPI #1184034100 in Temple, Texas

Provider Information

NPI Number: 1184034100
Entity Type: Individual
Name: Vicky Pavelka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 29, 2014
Last Updated: Apr 29, 2014

Practice Location

Address: 2010 SW H K DODGEN LOOP
Address 2: SUITE 201
City: Temple
State: Texas
ZIP Code: 76504-7062
Phone: (254) 774-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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