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Organization
LIGHTSEY THERAPY
Active
Organization
LIGHTSEY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA JEAN LIGHTSEY PT, DPT (OWNER/PHYSICAL THERAPIST)
(979) 446-0422
Entity
Organization
Contact information
Practice address
2651 BOONVILLE RD STE 115, BRYAN, TX 77808-2334
(979) 446-0422
(979) 446-0433
Mailing address
2651 BOONVILLE RD STE 115, BRYAN, TX 77808-2334
(979) 446-0422
(979) 446-0433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1145365
TX
Other
Enumeration date
02/18/2016
Last updated
06/16/2018
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