Individual
MRS. MYRA SOL TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6309 78TH ST, LUBBOCK, TX 79424-8706
(806) 773-1292
Mailing address
6309 78TH ST, LUBBOCK, TX 79424-8706
(806) 773-1292
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2046282
TX
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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