Individual
ADAMILEY LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N VIRGINIA ST, PORT LAVACA, TX 77979-2509
(361) 551-2513
Mailing address
1300 N VIRGINIA ST, PORT LAVACA, TX 77979-2509
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098155
TX
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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