Individual
MS. NANCY M VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3525
Mailing address
717 TAHOE TRAIL DR, HEWITT, TX 76643-4607
(254) 666-5048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
221937
TX
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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