Individual
CHONA LABRADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(903) 939-2443
Mailing address
7363 KINGSPORT LN, TYLER, TX 75703-7495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1257360
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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