Individual
MS. ALICIA S TYKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2604 HWY 69 N, LUFKIN, TX 75904-1060
(936) 899-7235
Mailing address
558 COUNTY ROAD 170, JASPER, TX 75951-8346
(409) 381-0810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2071716
TX
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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