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Individual

MRS. AMY LOUISE BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4701 CAMPUS VILLAGE DR., ROUND ROCK, TX 78665
(208) 440-4162
Mailing address
8901 PEPPER ROCK DR., AUSTIN, TX 78717
(208) 440-4162

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1134724
TX

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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