Bryana Frazer, PTA

Individual provider Active NPI Physical Therapy Assistant · Caldwell, TX

NPI 1285093286 · NPPES record last updated Feb 18, 2016

Key facts

NPI
1285093286
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2112269 (TX)
Practice address
1022 Presidential Corridor
Caldwell, TX 77836-4611
Phone
(979) 567-0920
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2112269TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2112269 TX Yes

Addresses

Primary practice location

1022 Presidential Corridor
Caldwell, TX 77836-4611

Mailing address

508 Masters Dr
Victoria, TX 77904-3349
Phone (361) 582-6404

Other providers in Caldwell, TX

All providers in Caldwell, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.