Individual
MRS. LAURA JEANNNE MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
19285 DAVID MEMORIAL DR, SUITE 100, SHENANDOAH, TX 77385-8778
(936) 321-8300
Mailing address
19285 DAVID MEMORIAL DR, SUITE 100, SHENANDOAH, TX 77385-8778
(936) 321-8300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014742
TX
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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