Individual
EMILY HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
(512) 795-2422
(512) 852-4485
Mailing address
9630 COVEY RIDGE LN, AUSTIN, TX 78758-5806
(512) 567-8746
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2096751
TX
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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