Individual
MYRIAM JANNETTE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1714 BOCA CHICA BLVD, BROWNSVILLE, TX 78520-8141
(956) 544-2401
(956) 504-2234
Mailing address
PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
(361) 884-2904
(361) 857-0572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012415
TX
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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