Individual
MISS REBECCA LYNNE MOEHLENBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
711 LUCAS DR., ATHENS, TX 75751
(903) 675-8538
Mailing address
903 WARD LN, ATHENS, TX 75751-2918
(314) 504-0696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108688
TX
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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