Individual
JAN NICOLE CARMONA LORICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10103 GRAY PINE DR, ROSHARON, TX 77583-2984
(281) 607-3116
Mailing address
10103 GRAY PINE DR, ROSHARON, TX 77583-2984
(281) 607-3116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2179193
TX
Other
Enumeration date
04/01/2024
Last updated
08/08/2025
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