Individual
CHRISTINA HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 E 29TH ST, BRYAN, TX 77802-1954
(956) 236-6637
Mailing address
1501 HARVEY RD APT 504, COLLEGE STA, TX 77840-6734
(956) 236-6637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121805
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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