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Individual

DR. AMY LYNN BRISCOE-EAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4604 S LAMAR BLVD APT C109, AUSTIN, TX 78745-1356
(512) 917-0145
Mailing address
9512 INDIGO BRUSH DR, AUSTIN, TX 78726-2440
(512) 917-0145

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1098291
TX

Other

Enumeration date
01/04/2019
Last updated
01/04/2019
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