Individual
LAURA NISHIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 E SAUNDERS ST, PLAZA 2, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Mailing address
2335 E SAUNDERS ST, PLAZA 2, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011987
STATE LICENSE
TX
Enumeration date
08/04/2008
Last updated
01/23/2024
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