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Individual

EDUARDO J CLAVIJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2250 E PALM VALLEY BLVD STE 20, ROUND ROCK, TX 78665-4533
(512) 975-7199
(512) 861-3351
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1346046
TX
261QP2000X
Physical Therapy Clinic/Center
1346046
TX

Other

Enumeration date
06/24/2022
Last updated
11/22/2023
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