Individual
JENNIFER L LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 BROWN ST, WAXAHACHIE, TX 75165-1418
(972) 937-5999
Mailing address
150 HCR 1436, COVINGTON, TX 76636-4517
(692) 455-6884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1295708
TX
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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