Individual
MS. LYRIC MAUREE GRISSOM I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1431 GREENWAY DR STE 500, IRVING, TX 75038-2444
(903) 563-2622
Mailing address
1431 GREENWAY DR STE 500, IRVING, TX 75038-2444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2187292
TX
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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