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Organization
MIND BODY PHYSIOTHERAPY
Active
Organization
MIND BODY PHYSIOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE GONZALES DPT (OWNER)
(737) 230-1138
Entity
Organization
Contact information
Practice address
1621 E 6TH ST, AUSTIN, TX 78702-3300
(737) 230-1138
Mailing address
1100 S LAMAR BLVD APT 1245, AUSTIN, TX 78704-0195
(737) 230-1138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/13/2021
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