Individual
CALLIE MOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W 3RD AVE STE 6, CORSICANA, TX 75110-4564
(903) 872-5925
Mailing address
500 W 3RD AVE STE 6, CORSICANA, TX 75110-4564
(903) 872-5925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2132569
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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