Individual
MARY ALICE CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 HESTERS CROSSING RD, ROUND ROCK, TX 78681-6946
(512) 310-1928
(512) 310-9180
Mailing address
301 HESTERS CROSSING RD, ROUND ROCK, TX 78681-6946
(512) 310-1928
(512) 310-9180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2027100
TX
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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