Individual
JULIE CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3601 W WILLIAM CANNON DR STE 215, AUSTIN, TX 78749-1533
(512) 450-1300
Mailing address
1865 KIRBY, KYLE, TX 78640-6107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2053990
TX
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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