MACIE ROSE SOUTHARD

WICHITA FALLS, TX
NPI1831816263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2173083)
Enumeration Date2022-10-26
Last Update Date2022-10-26
Business Address
MACIE ROSE SOUTHARD PTA
4309 OLD JACKSBORO HWY STE 101
WICHITA FALLS, TX 76302-2700
Phone number: 940-386-1004
Mailing Address
MACIE ROSE SOUTHARD PTA
4309 OLD JACKSBORO HWY STE 101
WICHITA FALLS, TX 76302-2700
Phone number: 940-386-1004
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