JUSTIN LANCE FIELDS

WINNSBORO, TX
NPI1194202275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2138895)
Enumeration Date2018-07-23
Last Update Date2018-07-23
Business Address
JUSTIN LANCE FIELDS PTA, BS
406 S MAIN ST
WINNSBORO, TX 75494-3226
Phone number: 903-342-6790
Mailing Address
JUSTIN LANCE FIELDS PTA, BS
1130 E HAWKINS PKWY APT 6304
LONGVIEW, TX 75605-8143
Phone number: