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Individual

CRAIG LAVISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 AVERY NELSON PKWY UNIT 186, ROUND ROCK, TX 78665-0018
(305) 239-9383
Mailing address
1400 AVERY NELSON PKWY UNIT 186, ROUND ROCK, TX 78665-0018

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1403237
TX
2251X0800X
Orthopedic Physical Therapist
42453
FL

Other

Enumeration date
11/14/2024
Last updated
01/15/2025
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