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Individual

DIANE HODGES POPPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6911 RR 620 N STE B, AUSTIN, TX 78732-1920
(512) 467-4546
Mailing address
1033 LA POSADA DR STE 308, AUSTIN, TX 78752-3824
(512) 284-7192

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center
1218117
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1218117
TEXAS BOARD OF PHYSICAL THERAPY
TX
Enumeration date
08/05/2014
Last updated
06/06/2022
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