Individual
LAURA MICHELLE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
202 S HARTFORD ST, BRECKENRIDGE, TX 76424-4713
(254) 559-1864
Mailing address
310 GANDY ST, LIPAN, TX 76462-2412
(817) 776-7366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2147670
TX
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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