Individual
LANI RAE PUSATERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 821-7327
Mailing address
2704 SILVER OAK DR, COLLEGE STATION, TX 77845-5764
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2135143
TX
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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