Individual
NESHA LEIGH FLAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13451 SHORELINE DR, WILLIS, TX 77318-5282
(936) 649-1452
Mailing address
13451 SHORELINE DR, WILLIS, TX 77318-5282
(936) 649-1452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2062619
TX
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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