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Contact Information

JEREMY J WINDHAM, PTA
724 W RENDON CROWLEY RD
CROWLEY, TX76036
 Phone: 817-297-4141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JEREMY J WINDHAM · (Male)

NPI # 1467934133
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/30/2018
Last updated 08/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 2113499
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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