Individual
JENNIFER C STAUDENMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6818 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3158
(512) 418-8870
Mailing address
6818 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3158
(512) 418-8870
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1171708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1171708
LICENSE
TX
Enumeration date
04/18/2007
Last updated
03/23/2010
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