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Individual

LARRY TODD MAYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
(936) 632-2107
(936) 632-2108
Mailing address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
(936) 632-2107
(936) 632-2108

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2043024
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2043024
LICENSE
TX
Enumeration date
04/17/2012
Last updated
04/17/2012
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