Individual
DELESA MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
5608 PARKCREST DR STE 100, AUSTIN, TX 78731-4972
(325) 214-0163
Mailing address
9921 MILLA CIR, AUSTIN, TX 78748-3905
(325) 214-0163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1248171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1248171
PT LICENSE NUMBER
TX
Enumeration date
08/14/2018
Last updated
08/14/2018
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