Individual
MS. ELAINE MARIE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
329 HAMPTON CT, LONGVIEW, TX 75605-4733
(903) 238-5771
(903) 757-8694
Mailing address
329 HAMPTON COURT, LONGVIEW, TX 75605
(903) 238-5771
(903) 757-8694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20761646
TX
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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