Individual
KIMBERLY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9441 LYNDON B JOHNSON FWY, #101, DALLAS, TX 75243-4545
(214) 575-9820
Mailing address
4910 GOODMAN AVE, APT# 4931, ADDISON, TX 75001-6305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2053710
TX
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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