Provider Demographics
NPI:1891511200
Name:BEDOYA OCAMPO, ALEJANDRO (DPT, PT)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:BEDOYA OCAMPO
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28533 SPRING TRAILS RDG STE 112
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-5030
Mailing Address - Country:US
Mailing Address - Phone:281-301-5090
Mailing Address - Fax:281-651-5259
Practice Address - Street 1:28533 SPRING TRAILS RDG STE 112
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-5030
Practice Address - Country:US
Practice Address - Phone:281-301-5090
Practice Address - Fax:281-651-5259
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1404155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist