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Individual

IRENA VELIAOTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 COTTONWOOD CREEK TRL, CEDAR PARK, TX 78613-7555
(512) 259-4259
Mailing address
5637 SIRAGUSA DR, AUSTIN, TX 78738-6178
(917) 870-0455

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2140696
TX

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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