NPI 1003003450

Omar Antonio Fabian

Practitioner Physical Therapy Assistant Tyler, TX

Practice location

Address: 2717 Rollingwood, Tyler, TX 75701
Phone: (903) 245-1844
Mailing address: 2717 Rollingwood Dr, Tyler, TX 75701-6007

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2056123 (TX)

Other Physical Therapy Assistant providers in Texas →

Registry record

NPI: 1003003450
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2007
Record last updated: 1 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.