Individual
GLADYS NYACHWAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1241 WESTRIDGE AVE, LANCASTER, TX 75146-1442
(972) 227-5110
Mailing address
1241 WESTRIDGE AVE, LANCASTER, TX 75146-1442
(972) 227-5110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2061438
TX
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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