Individual
MALLORIE MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
352 W US HIGHWAY 84, FAIRFIELD, TX 75840-4908
(903) 389-7433
Mailing address
146 COUNTY ROAD 929, TEAGUE, TX 75860-5012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2186651
TX
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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