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Organization
LADY BIRD PHYSICAL THERAPY
Active
Organization
LADY BIRD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA MAIDANSKY PT, DPT (PHYSICAL THERAPIST/OWNER)
(512) 766-2649
Entity
Organization
Contact information
Practice address
2222 WESTERN TRAILS BLVD STE 101, AUSTIN, TX 78745-1601
(512) 766-2649
Mailing address
2222 WESTERN TRAILS BLVD STE 101, AUSTIN, TX 78745-1601
(512) 766-2649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437522653
NPPES
TX
01
—
1720503188
NPPES
TX
Enumeration date
01/20/2021
Last updated
01/20/2021
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