Individual
NICOLE MARIE LYSSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 N JACKSON RD STE 900, MCALLEN, TX 78501
(566) 610-4759
(956) 621-7518
Mailing address
1201 N JACKSON RD STE 900, MCALLEN, TX 78501
(956) 661-0475
(956) 621-7518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2060829
TX
225200000X
Physical Therapy Assistant
Primary
2060829
TX
Other
Enumeration date
07/12/2011
Last updated
05/10/2023
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