Individual
JORDAN LYNN MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 OLD GRANGER, TAYLOR, TX 76574-3564
(512) 352-6337
Mailing address
105 LUCKY CLOVER LN, HUTTO, TX 78634-4174
(512) 665-5305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091003
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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