Individual
ROSANA BEVILACQUA-DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
14028 N HWY 183, AUSTIN, TX 78717-5992
(512) 580-5808
Mailing address
14028 US-183, ST # 120, AUSTIN, TX 78717
(512) 580-5808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT116480
TX
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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