MR. Paul Bacon, PHYSICAL THERAPIST

NPI #1932285970 in Emory, Texas

Provider Information

NPI Number: 1932285970
Entity Type: Individual
Name: MR. Paul Bacon, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2014

Practice Location

Address: 903 EAST LENNON STREET
Address 2: SUITE 101
City: Emory
State: Texas
ZIP Code: 75440
Phone: (903) 474-9436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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