VIRGINIA B SPORE

LUFKIN, TX
NPI1104113968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1-09975-2)
Enumeration Date2011-06-30
Last Update Date2011-06-30
Business Address
-- VIRGINIA B SPORE
1302 TOM TEMPLE DR
LUFKIN, TX 75904-5581
Phone number: 936-634-0490
Mailing Address
-- VIRGINIA B SPORE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: