Individual
JOSE BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4500 STEINER RANCH BLVD APT 3207, AUSTIN, TX 78732-2354
(978) 873-1266
Mailing address
4500 STEINER RANCH BLVD APT 3207, AUSTIN, TX 78732-2354
(978) 873-1266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2137036
TX
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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