Individual
ARTESSA FONTAMILLAS DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HIGHWAY 64 W, COOPER, TX 75432-9734
(903) 395-2125
Mailing address
110 HIGHWAY 64 W, COOPER, TX 75432-9734
(903) 395-2125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1246040
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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