Organization
SUN PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA RUTH MAINES DPT (OWNER/PHYSICAL THERAPIST)
(512) 429-2975
Entity
Organization
Contact information
Practice address
2324 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4604
(512) 522-6447
Mailing address
520 KODIAK TRL, CEDAR PARK, TX 78613-4108
(512) 429-2975
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1244873
TX
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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