Individual
DIANA LUJAN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6818 AUSTIN CENTER BLVD STE 111, AUSTIN, TX 78731-3199
(512) 418-8870
Mailing address
6818 AUSTIN CENTER BLVD, SUITE 111, AUSTIN, TX 78731-3158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1174900
TX
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3103348
LICENSE#
TX
Enumeration date
06/08/2007
Last updated
11/21/2014
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