Individual
MARY LASHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 HIAWATHA DR, WACO, TX 76712-8302
(254) 717-5471
Mailing address
10801 HIAWATHA DR, WACO, TX 76712-8302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2028694
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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