Provider Demographics
NPI:1811224926
Name:CAMPBELL, ORLANDO (PT, DPT)
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MOUNTAIN LION RD
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8839
Mailing Address - Country:US
Mailing Address - Phone:254-618-4900
Mailing Address - Fax:254-618-4905
Practice Address - Street 1:110 MOUNTAIN LION RD
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-8839
Practice Address - Country:US
Practice Address - Phone:254-618-4900
Practice Address - Fax:254-618-4905
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1282969225100000X
FLPT31733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist