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Organization
ATX TOTAL THERAPY PLLC
Active
Organization
ATX TOTAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN SAMUEL BUSCAGLIO OT (OWNER)
(704) 500-4879
Entity
Organization
Contact information
Practice address
4407 MARATHON BLVD, AUSTIN, TX 78756-3428
(704) 500-4879
Mailing address
4407 MARATHON BLVD, AUSTIN, TX 78756-3428
(704) 500-4879
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
NULL
2251G0304X
Geriatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
04/24/2024
Last updated
05/10/2024
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