Individual
ELAINA IAZZETTI VALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
11614 BEE CAVES RD, SUITE 160, AUSTIN, TX 78738-5405
(512) 428-4261
Mailing address
11614 BEE CAVES RD, SUITE 160, AUSTIN, TX 78738-5405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1143568
TX
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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