Individual
JULIE MANKINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, OCS, FAAOMPT
Contact information
Practice address
2200 PARK BEND DR, BUILDING 1 SUITE 202, AUSTIN, TX 78758-5387
(512) 339-1500
(512) 339-1501
Mailing address
1810 VALLEJO ST, AUSTIN, TX 78757-2830
(512) 452-2667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
1116903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1116903
LICENSE
TX
Enumeration date
08/30/2006
Last updated
11/30/2012
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