Individual
GENEVIEVE TANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 HARMON AVE APT 461, AUSTIN, TX 78705-2375
(808) 729-3671
Mailing address
3400 HARMON AVE APT 461, AUSTIN, TX 78705-2375
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150829
TX
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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