Individual
LIGHT TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 LA POSADA DR STE 230, AUSTIN, TX 78752-3842
(512) 284-7192
Mailing address
1033 LA POSADA DR STE 230, AUSTIN, TX 78752-3842
(512) 284-7192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
06/11/2019
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