Individual
MS. PAULETTE ANGELA COSTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
12233 RR 620 N, SUITE 107, AUSTIN, TX 78750-1092
(512) 626-8634
Mailing address
12233 RR 620 N, SUITE 107, AUSTIN, TX 78750-1092
(512) 626-8634
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT044396
TX
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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