Individual
MS. NICOLE GOLDRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
160 ELLA LN, DRIPPING SPRINGS, TX 78620-3553
(512) 745-7324
Mailing address
160 ELLA LN, DRIPPING SPRINGS, TX 78620-3553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2068610
TX
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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