Jissa Thayil
NPI #1104306257 in Georgetown, Texas
Provider Information
- NPI Number
- 1104306257
- Entity Type
- Individual
- Name
- Jissa Thayil
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Geriatrics
- Enumeration Date
- Aug 17, 2018
- Last Updated
- Aug 17, 2018
Practice Location
- Address
- 2406 BROOKHOLLOW TER
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-7684
- Phone
- (183) 262-0316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Geriatrics — Geriatrics |
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