Individual
LISA KATHLEEN WINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2500 BARTON CREEK BLVD, AUSTIN, TX 78735-1603
(512) 617-9805
Mailing address
8901 VERONA TRL, AUSTIN, TX 78749-4967
(803) 640-5429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1138071
TX
2251G0304X
Geriatric Physical Therapist
Primary
1138071
TX
Other
Enumeration date
12/14/2006
Last updated
02/25/2009
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