Individual
LINDY SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17521 US HIGHWAY 69 S, SUITE 120, TYLER, TX 75703-5376
(903) 839-3600
Mailing address
2915 FOREST AVE, TEXARKANA, AR 71854-7109
(903) 824-1259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2064169
TX
Other
Enumeration date
10/17/2008
Last updated
03/14/2014
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