Provider Demographics
NPI:1104931690
Name:READ, JEAN M (PT)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:M
Last Name:READ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 532127
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-2127
Mailing Address - Country:US
Mailing Address - Phone:956-627-6114
Mailing Address - Fax:956-627-6116
Practice Address - Street 1:1801 N ED CAREY DR
Practice Address - Street 2:SUITE D
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8268
Practice Address - Country:US
Practice Address - Phone:956-428-8951
Practice Address - Fax:956-428-0232
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8882225100000X
TX1078095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist