Individual
MR. DALE VANHOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6159 FM 1001, COOKVILLE, TX 75558-3047
(903) 573-6954
Mailing address
6159 FM 1001, COOKVILLE, TX 75558-3047
(903) 573-6954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2033454
TX
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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