Individual
JACLYNN DENICE DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
440 US-59 LOOP S, #104, LIVINGSTON, TX 77351
(936) 328-8148
Mailing address
2515 COLONIAL RIDGE DR, FRIENDSWOOD, TX 77546-2609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2119519
TX
Other
Enumeration date
08/30/2018
Last updated
08/01/2022
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