Individual
LISA CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 E FERGUSON ST, SUITE 1204, TYLER, TX 75702-5759
(902) 509-2040
(903) 534-5873
Mailing address
100 E FERGUSON ST, SUITE 1204, TYLER, TX 75702-5759
(902) 509-2040
(903) 534-5873
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1172963
TX
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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