Individual
ELIZABETH O LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4550 US HIGHWAY 281, BROWNSVILLE, TX 78520-4020
(956) 574-5671
Mailing address
3729 SUN COUNTRY DR, HARLINGEN, TX 78552-3913
(513) 315-3928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060802037
BOARD OF CERTIFICATION
—
01
—
AT4804
ATHLETIC TRAINING LICENSE
TX
Enumeration date
01/08/2020
Last updated
01/08/2020
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