Provider Demographics
NPI:1407228638
Name:NANCE, JUDITH ENGLAND (PT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ENGLAND
Last Name:NANCE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 REBA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6327
Mailing Address - Country:US
Mailing Address - Phone:713-898-1229
Mailing Address - Fax:
Practice Address - Street 1:2402 REBA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-6327
Practice Address - Country:US
Practice Address - Phone:713-898-1229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1060929225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist