Individual
HELEN DIANE SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
201 SANDCRAB BLVD, PORT LAVACA, TX 77979-2424
(361) 551-2698
Mailing address
201 WHISPERING PINE DR, HAUGHTON, LA 71037-9512
(903) 279-2603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3380
TX
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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