Individual
HALEY TIJERINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
544 OTTO STREET, BROOKSHIRE, TX 77423
(832) 549-5667
Mailing address
PO BOX 17, BROOKSHIRE, TX 77423-0017
(832) 549-5667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155352
TX
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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