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Organization
PERFORMANCE WELLNESS PHYSICAL THERAPY CENTER
Active
Organization
PERFORMANCE WELLNESS PHYSICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDIE LEACH D.C. (OWNER)
(512) 491-7772
Entity
Organization
Contact information
Practice address
6500 N MOPAC EXPY, BLDG. 3, STE. 101, AUSTIN, TX 78731-3282
(512) 491-7772
(512) 339-6806
Mailing address
6500 N MOPAC EXPY, BLDG. 3, STE. 101, AUSTIN, TX 78731-3282
(512) 491-7772
(512) 339-6806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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