Individual
MRS. SHAWNA MUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1701 TOURNAMENT TRAIL DR, LAREDO, TX 78041-6564
(956) 727-3422
Mailing address
1877 STONE FIELD LN, LAREDO, TX 78045-8614
(830) 391-2506
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2045292
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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