Individual
MOLLY MCLAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19604 SMITH GIN ST, MANOR, TX 78653-4069
(585) 331-1516
Mailing address
19604 SMITH GIN ST, MANOR, TX 78653-4069
(585) 331-1516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2164089
TX
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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