Individual
AUTUMN HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3050 DOWLEN RD STE L, BEAUMONT, TX 77706-7285
(409) 861-4606
Mailing address
7654 BOARDWALK, LUMBERTON, TX 77657-6987
(540) 597-8108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1403964
TX
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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