Individual
CARLY PABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 S IH 35, SUITE L-2, ROUND ROCK, TX 78681-6900
(512) 388-8904
(512) 287-4214
Mailing address
1900 SCOFIELD RIDGE PKWY APT 5202, AUSTIN, TX 78727-1620
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074300
TX
Other
Enumeration date
01/21/2014
Last updated
10/06/2014
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