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Individual

MRS. DEBORAH TUCKEY NYSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
2310 WEST I-20, SUITE 204, ARLINGTON, TX 76017
(817) 466-7276
(817) 466-7286
Mailing address
2310 WEST I-20, SUITE 204, ARLINGTON, TX 76017
(817) 466-7276
(817) 466-7286

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1035228
CO

Other

Enumeration date
12/30/2016
Last updated
12/30/2016
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