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Shonda Juarez

Physical Therapist in Tyler, TX. Individual provider (NPI-1).

NPI number1043791908
StatusActive
Last updated in NPPESAug 28, 2018

Details

NPI
1043791908
Entity type
Individual (NPI-1)
Name
Shonda Juarez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2018
Last updated
Aug 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1115038TXYes

Practice location

3111 Lake Vista Cir
Tyler, TX 75707-1707

Phone 903-262-0541

Mailing address

3111 Lake Vista Cir
Tyler, TX 75707-1707

Phone 903-262-0541

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