Individual
MARCY ( TANYA ) MARCELLE WORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 COUNTY ROAD 187D, KILGORE, TX 75662-1205
(903) 808-1876
Mailing address
1885 COUNTY ROAD 187D, KILGORE, TX 75662-1205
(903) 808-1876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2035731
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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