Individual
SIERRA BROOKE COUFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
763 MARLANDWOOD RD, TEMPLE, TX 76502-3573
(979) 251-2700
Mailing address
11251 HIGHWAY 36 N, BRENHAM, TX 77833-6370
(979) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2125737
TX
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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