Ian Bacon
Ian Bacon is a Physical Therapy Assistant in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2017.
- Licensed in
- TX
- In the registry since
- 2017
Practice location Address checks out
4510 27th StLubbock, TX 79410-1709
Phone: (806) 795-4368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2125070 (TX) |
|---|
Record details
| NPI number | 1215476890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 16, 2017 |
| Last updated in NPPES | February 16, 2017 |
| Mailing address | 4510 27th St, Lubbock, TX 79410-1709 |
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