NPI 1184034100

Vicky Pavelka

Practitioner Physical Therapy Assistant Temple, TX

Practice location

Address: 2010 SW H K Dodgen Loop Suite 201, Temple, TX 76504-7062
Phone: (254) 774-9991
Fax: (254) 774-9980
Mailing address: 305 NE Loop 280 Business Tower 1, Suite 200, Hurst, TX 76053

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2023257 (TX)

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Registry record

NPI: 1184034100
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2014
Record last updated: 29 Apr 2014

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.