Individual
LESA ANN SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
40 BIG ROCK CIR, TEXARKANA, AR 71854-7140
(903) 276-1806
Mailing address
40 BIG ROCK CIR, TEXARKANA, AR 71854-7140
(903) 276-1806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2094651
TX
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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