Individual
LISA LYERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3639 WINDLEWOOD DR, KATY, TX 77449-6135
(214) 466-1340
Mailing address
3639 WINDLEWOOD DR, KATY, TX 77449-6135
(262) 391-8666
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210614
TX
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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