Individual
JASMINE CHABOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101B W CENTRAL TEXAS EXPY # B, SUITE D, HARKER HEIGHTS, TX 76548-1704
(254) 630-1186
(254) 213-9235
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9177
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2103189
TX
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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