SHANE LEE EDMONDSON

TYLER, TX
NPI1285272377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2019-12-19
Last Update Date2019-12-19
Business Address
SHANE LEE EDMONDSON PT, DPT
5407 NEW COPELAND RD STE 100
TYLER, TX 75703-3997
Phone number: 903-630-7204
Mailing Address
SHANE LEE EDMONDSON PT, DPT
202 CANYON DR
HIDEAWAY, TX 75771-5040
Phone number: 903-292-9183
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