Individual
OLINE MCNEECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13854 COUNTY ROAD 291, TYLER, TX 75707-4846
(903) 566-6797
Mailing address
13854 COUNTY ROAD 291, TYLER, TX 75707-4846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2085198
TX
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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