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Individual

CARMEN LYSAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
22800 BULVERDE RD APT 502, SAN ANTONIO, TX 78261-3038
(443) 846-3275

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124077
TX

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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