Individual
LAURA LYNN HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 ROCK ST, BOWIE, TX 76230-3115
(940) 872-2283
Mailing address
1101 ROCK ST, BOWIE, TX 76230-3115
(940) 872-2283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2026763
TX
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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