MR. Edsel Ligutom JR., PT

NPI #1710854013 in Waco, Texas

Provider Information

NPI Number
1710854013
Entity Type
Individual
Name
MR. Edsel Ligutom JR., PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist - Geriatrics
Credential
PT
Enumeration Date
Oct 21, 2025
Last Updated
Oct 21, 2025

Practice Location

Address
1400 LAKE SHORE DR
City
Waco
State
Texas
ZIP Code
76708-3718
Phone
(254) 753-0291

Specialties & Taxonomy Codes

Specialty
Physical Therapist - GeriatricsGeriatrics

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