Individual
AUSTINE MAE VILLARONTE EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5403 SAYLE ST, APT 267, GREENVILLE, TX 75402-6329
(704) 438-8182
Mailing address
5403 SAYLE ST, APT 267, GREENVILLE, TX 75402-6329
(704) 438-8182
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1203496
TX
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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