MS. Kathleen Mary Thibodeaux Haslam, P.T.

NPI #1407962426 in Longview, Texas

Provider Information

NPI Number: 1407962426
Entity Type: Individual
Name: MS. Kathleen Mary Thibodeaux Haslam, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Aug 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2010 GILMER RD
City: Longview
State: Texas
ZIP Code: 75604-2511
Phone: (903) 297-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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