Individual
JENNIFER TREIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2211 I-35 SOUTH, STE 300, AUSTIN, TX 78741
(512) 394-0652
(512) 394-1436
Mailing address
2211 I-35 SOUTH, STE 300, AUSTIN, TX 78741
(512) 394-0652
(512) 394-1436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2078570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
09/15/2010
Last updated
09/15/2010
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