Karissa Bolyog

NPI #1063042471 in Tyler, Texas

Provider Information

NPI Number: 1063042471
Entity Type: Individual
Name: Karissa Bolyog
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 24, 2020
Last Updated: Jan 24, 2020

Practice Location

Address: 9846 HIGHWAY 31 E
City: Tyler
State: Texas
ZIP Code: 75705-2329
Phone: (903) 592-8001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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