Individual
MISS MARIA DE JESUS CHICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(800) 688-2520
Mailing address
100 E FERGUSON ST, TYLER, TX 75702-5759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2166808
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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