Individual
MS. LAURA ANN WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 OLD AUSTIN HWY, BASTROP, TX 78602-5168
(512) 321-2529
(512) 321-6874
Mailing address
11305 HUNGRY HORSE DR, MANOR, TX 78653-4656
(512) 422-4860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2037208
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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