Individual
CAMILLE PLASEK KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8836 MARS DR, HEWITT, TX 76643-3195
(254) 420-5500
Mailing address
685 SMITH LN, BRUCEVILLE, TX 76630-3409
(254) 722-1072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042083
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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