Individual
NICOLE ENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3607 MENCHACA RD, AUSTIN, TX 78704-5947
(512) 444-7219
Mailing address
5625 FOXFIELD LN, AUSTIN, TX 78738-7701
(512) 466-8840
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1335594
TX
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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