Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Mar 7, 2014
License(s)
037430-1 (NY), 1241467 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2415 W PECAN ST STE 100 | Pflugerville, TX 78660-3670 | 512-251-3230 |
| MAILING | 905 SALLY LUNN WAY | Pflugerville, TX 78660-3030 |
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