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PAIGE ALEXANDRIA MUNDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
900 S TEMPLE DR, DIBOLL, TX 75941-2725
(936) 829-5501
Mailing address
6063 FM 841, LUFKIN, TX 75901-4639
(936) 240-3770

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2147682
TX

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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