Individual
MRS. MYRNA LIZZET ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 CENTRAL PALM DR, RIO GRANDE CITY, TX 78582-6648
(956) 487-3996
Mailing address
177 MEADOW LOOP, RIO GRANDE CITY, TX 78582-6854
(956) 573-4005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2084661
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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