MRS. Jennifer Lyles

NPI #1558768952 in Bryan, Texas

Provider Information

NPI Number: 1558768952
Entity Type: Individual
Name: MRS. Jennifer Lyles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 1, 2014
Last Updated: Dec 1, 2014

Practice Location

Address: 4091 EASTCHESTER DR
City: Bryan
State: Texas
ZIP Code: 77802-4735
Phone: (979) 776-5096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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