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Individual

ELYSE MICHELE PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
(972) 756-0500
Mailing address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1229605
TX

Other

Enumeration date
04/14/2020
Last updated
04/14/2020
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