Individual
GARYELLE NEILANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 OAK ST STE C, GRAHAM, TX 76450-3073
(618) 339-1826
Mailing address
701 OAK ST STE C, GRAHAM, TX 76450-3073
(618) 339-1826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2099619
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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