Individual
MARIEL GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 COTTONWOOD CREEK TRL, CEDAR PARK, TX 78613-2091
(737) 757-3100
Mailing address
225 BIRKSHIRE DR, GEORGETOWN, TX 78626-2394
(915) 726-9059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2107931
TX
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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