Individual
EVETT MONIQUE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 HUGULEY BLVD, BURLESON, TX 76028-7506
(817) 551-5900
Mailing address
7 BENTLEY CT, MANSFIELD, TX 76063-3783
(469) 684-0306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2112432
TX
Other
Enumeration date
09/28/2017
Last updated
09/14/2018
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