Individual
AMY R LA RUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9505 FREDERICKSBURG RD, SAN ANTONIO, TX 78240-4284
(703) 680-0600
(703) 680-0790
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-0234
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1086684
TX
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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