Individual
ELAINE LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1730 WOODSTEAD CT, SPRING, TX 77380-1411
(281) 292-0422
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2059476
TX
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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