| |
1920 E Riverside Dr Ste D-120, Austin, TX 78741-1350 | |
(512) 580-3008 | |
(512) 969-2709 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1920 E Riverside Dr Ste D-120, Austin, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407423460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 306393, Nashville, TN 37230-6393 Ph: (615) 373-1350 | 1920 E Riverside Dr Ste D-120, Austin, TX 78741-1350 Ph: (512) 580-3008 |