Shonda Juarez

NPI #1043791908 in Tyler, Texas

Provider Information

NPI Number: 1043791908
Entity Type: Individual
Name: Shonda Juarez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 28, 2018
Last Updated: Aug 28, 2018

Practice Location

Address: 3111 LAKE VISTA CIR
City: Tyler
State: Texas
ZIP Code: 75707-1707
Phone: (903) 262-0541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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