Individual
ALYSSA TEMPLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5400 BRODIE LN STE 295, SUNSET VALLEY, TX 78745-2525
(512) 676-3949
Mailing address
8715 W HIGHWAY 71 APT 2105, AUSTIN, TX 78735-0033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2096552
TX
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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