Individual
JEANETTE ELAINE FAGLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-2250
(254) 743-0313
Mailing address
2002 STAGECOACH TRL, TEMPLE, TX 76502-3222
(254) 743-2250
(254) 743-0313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015715
TX
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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