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Individual

AUDREY WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
359 VILLAGE COMMONS BLVD, GEORGETOWN, TX 78633-3007
(512) 819-9500
Mailing address
5402 ROOSEVELT AVE # A, AUSTIN, TX 78756-2129
(815) 718-5644

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1289529
TX

Other

Enumeration date
07/23/2017
Last updated
07/23/2017
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