Provider Demographics
NPI:1508072356
Name:JALANDONI, VICENTE YAP III (PT)
Entity Type:Individual
Prefix:MR
First Name:VICENTE
Middle Name:YAP
Last Name:JALANDONI
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:5518 CARAWAY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-7801
Mailing Address - Country:US
Mailing Address - Phone:281-421-0414
Mailing Address - Fax:281-421-0414
Practice Address - Street 1:5518 CARAWAY LAKE DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-7801
Practice Address - Country:US
Practice Address - Phone:281-421-0414
Practice Address - Fax:281-421-0414
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1167020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist