Individual
KAYLA ANN CANAGUIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 E LOOP 281, LONGVIEW, TX 75605-5006
(430) 240-4600
Mailing address
2266 MUSTANG RD, GILMER, TX 75645-2782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2148008
TX
Other
Enumeration date
10/12/2019
Last updated
10/12/2019
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