Individual
ASHLEY LAUREN PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 BRUSH COUNTRY RD, AUSTIN, TX 78749-1403
(512) 892-5774
Mailing address
10426 CAYUSE CV, AUSTIN, TX 78748-2330
(417) 737-0000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114109
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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