Age Victoriously Llc | |
7880 San Felipe St Ste 200, Houston, TX 77063-1608 | |
(832) 377-5968 | |
Not Available |
Full Name | Age Victoriously Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 7880 San Felipe St Ste 200, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518744861 | NPI | - | NPPES |
Provider Name | Jeremy Bourgeois |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548648884 PECOS PAC ID: 9133429327 Enrollment ID: I20151217000611 |
Provider Name | Emily C Morrel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013490796 PECOS PAC ID: 1254675424 Enrollment ID: I20181129001870 |
Provider Name | Sarahi Suarez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255000972 PECOS PAC ID: 8729486816 Enrollment ID: I20211202002339 |
Provider Name | Ayomide Fasalojo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033630561 PECOS PAC ID: 5294120333 Enrollment ID: I20220328000861 |
Provider Name | Sergio R Romero |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134857725 PECOS PAC ID: 8022492404 Enrollment ID: I20220902001244 |
Provider Name | Kervins Delphonse |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982203840 PECOS PAC ID: 1951781038 Enrollment ID: I20231211003761 |
Provider Name | Rifa R Maknojia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952136137 PECOS PAC ID: 7618400086 Enrollment ID: I20241024001681 |
Mailing Address | Practice Location Address |
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Age Victoriously Llc 2753 E Tamarisk St, Gilbert, AZ 85296-8997 Ph: (602) 741-6739 | Age Victoriously Llc 7880 San Felipe St Ste 200, Houston, TX 77063-1608 Ph: (832) 377-5968 |