Ivy Rose Embellado, PTA

NPI #1437514478 in Lufkin, Texas

Provider Information

NPI Number: 1437514478
Entity Type: Individual
Name: Ivy Rose Embellado, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 17, 2015
Last Updated: Dec 17, 2015

Practice Location

Address: 402 S. JOHN REDDITT DR.
City: Lufkin
State: Texas
ZIP Code: 75904
Phone: (936) 632-2107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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