Mary Lesie Kyzer, PTA

NPI #1619187002 in Vidalia, Georgia

Provider Information

NPI Number
1619187002
Entity Type
Individual
Name
Mary Lesie Kyzer, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
101 HARRIS INDUSTRIAL BLVD
State
Georgia
ZIP Code
30474
Phone
(912) 277-2044

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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