Individual
HEATHER LYNN TOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 REDMON RD, LONGVIEW, TX 75602-4824
(903) 399-1481
Mailing address
1820 REDMON RD, LONGVIEW, TX 75602-4824
(903) 399-1481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2130977
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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