Individual
MS. TERESA (TERRY) ROSE LYSKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443
(573) 634-3070
(573) 636-3247
Mailing address
1203 ELMERINE AVE, JEFFERSON CITY, MO 65101-3719
(573) 635-9671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00692
MO
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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