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ELEANOR GALAVIZ SIFUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTA

Contact information

Practice address
1700 ONION CREEK PKWY, AUSTIN, TX 78748-1948
(512) 291-4900
Mailing address
8417 PANADERO DR, AUSTIN, TX 78747-2745
(469) 834-7719

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208819
TX

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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