Provider Demographics
NPI:1023233798
Name:VORSAS, CARYN MARJORY (PT, MS)
Entity type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:MARJORY
Last Name:VORSAS
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12664 COUNTY ROAD 1254
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:TX
Mailing Address - Zip Code:75762-9132
Mailing Address - Country:US
Mailing Address - Phone:903-581-0150
Mailing Address - Fax:
Practice Address - Street 1:12664 COUNTY ROAD 1254
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:TX
Practice Address - Zip Code:75762-9132
Practice Address - Country:US
Practice Address - Phone:903-581-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059392225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist