Individual
GLENDA DEEDEE CHRISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16219 RANCH ROAD 620 N, AUSTIN, TX 78717-5209
(512) 520-1834
Mailing address
16219 RANCH ROAD 620 N, AUSTIN, TX 78717-5209
(512) 520-1834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2037158
TX
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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