Provider Demographics
NPI:1942370424
Name:PEARSON, LINDA JANET (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JANET
Last Name:PEARSON
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 1:834 COUNTY ROAD 432
Mailing Address - Street 2:
Mailing Address - City:BRAZORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77422-9781
Mailing Address - Country:US
Mailing Address - Phone:979-964-3818
Mailing Address - Fax:979-299-1301
Practice Address - Street 1:834 COUNTY ROAD 432
Practice Address - Street 2:
Practice Address - City:BRAZORIA
Practice Address - State:TX
Practice Address - Zip Code:77422-9781
Practice Address - Country:US
Practice Address - Phone:979-964-3818
Practice Address - Fax:979-299-1301
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029122225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist