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Individual

SHERWIN LARRACAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2500 BARTON CREEK BLVD, AUSTIN, TX 78735-1603
(512) 610-9401
(512) 329-3282
Mailing address
8721 FOGGY MOUNTAIN DR, AUSTIN, TX 78736-3370
(512) 301-3103
(512) 301-3103

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1121242
TX
2251G0304X
Geriatric Physical Therapist
Primary
1121242
TX

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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