Individual
DIANA ROSALES-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4425 S MOPAC EXPY #2, SUITE 102, AUSTIN, TX 78735-6710
(512) 407-8766
Mailing address
4425 S MOPAC EXPY #2, SUITE 102, AUSTIN, TX 78735-6700
(512) 407-8766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1175840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1175840
PT LICENSE#
TX
01
—
2251000000X
TAXONOMY CODE
—
Enumeration date
12/21/2015
Last updated
12/21/2015
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