Ely Lagazo, PHYSICAL THERAPIST

NPI #1316656309 in Del Valle, Texas

Provider Information

NPI Number: 1316656309
Entity Type: Individual
Name: Ely Lagazo, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2022

Practice Location

Address: 5324 MATHRA DR
City: Del Valle
State: Texas
ZIP Code: 78617-5852
Phone: (713) 385-1843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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