Individual
MRS. MARY GRACE SALANGA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2450 E 5TH ST, TYLER, TX 75701-3525
(903) 592-6745
Mailing address
2912 SALADO CREEK DRIVE, TYLER, TX 75703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2110220
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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