Individual
MAGGIE MAE MUSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5302 JANELLE DR, KILLEEN, TX 76549-5666
(254) 699-3933
Mailing address
2010 RED FOX DR, NOLANVILLE, TX 76559-4583
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2170154
TX
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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