Individual
JUSTIN LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1201 HEWITT DR STE 107, WACO, TX 76712-8834
(254) 572-8890
Mailing address
1201 HEWITT DR STE 107, WACO, TX 76712-8834
(254) 572-8890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2158925
TX
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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