Individual
DECLAN GERARD GERAGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 BEE CAVES RD STE 121, AUSTIN, TX 78746-7060
(512) 987-4409
Mailing address
807 W LYNN ST APT 208, AUSTIN, TX 78703-4767
(847) 565-9670
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1306381
TX
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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