Marissa Maiwelmal, PTA

NPI #1962980938 in Lone Oak, Texas

Provider Information

NPI Number
1962980938
Entity Type
Individual
Name
Marissa Maiwelmal, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 1, 2018
Last Updated
Aug 1, 2018

Practice Location

Address
3801 COUNTY ROAD 3401
State
Texas
ZIP Code
75453-4143
Phone
(903) 456-5323

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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