Individual
JILL MYERS-MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2125 S 61ST ST, TEMPLE, TX 76504-6823
(254) 314-8580
Mailing address
833 ARLINGTON DR, WOODWAY, TX 76712-3203
(254) 315-8967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2057693
TX
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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