Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1268450 | TX |
NPI | 1639787591 |
---|---|
Provider Name | Christine Michele Hobeika |
First Address | Spring, TX 77380-1915 |
Second Address | Shenandoah, TX 77380-3260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2020 |
Last Update Date | 16/07/2020 |