Individual
JACQUELINE STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
3508 FAR WEST BLVD, SUITE 240, AUSTIN, TX 78731-3080
(512) 832-9411
(512) 832-9401
Mailing address
11700 HARDWOOD TRL, AUSTIN, TX 78750-1310
(978) 866-4332
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1290121
TX
Other
Enumeration date
03/07/2017
Last updated
10/16/2024
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