Individual
ELIZABETH MARY MONGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1102 S CONGRESS AVE, AUSTIN, TX 78704-1728
(512) 462-5350
(521) 462-5359
Mailing address
1102 S CONGRESS AVE, AUSTIN, TX 78704-1791
(512) 462-5350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122859
TX
Other
Enumeration date
09/14/2022
Last updated
12/15/2022
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