Individual
HAILEY DIERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
744 S COLUMBIA DR, WEST COLUMBIA, TX 77486-3030
(979) 345-2856
(979) 345-2350
Mailing address
4687 COUNTY ROAD 356, BRAZORIA, TX 77422-8108
(979) 236-6908
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2162438
TX
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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