AMANDA KRISTAN MIRISE

TYLER, TX
NPI1497566624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: TX  1401088)
Enumeration Date2025-01-16
Last Update Date2025-01-16
Business Address
AMANDA KRISTAN MIRISE DPT
100 E FERGUSON ST
TYLER, TX 75702-5759
Phone number: 903-509-2040
Mailing Address
AMANDA KRISTAN MIRISE DPT
100 E FERGUSON ST
TYLER, TX 75702-5759
Phone number:
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