Individual
AIMEE MARIE KOEHL-NOVOSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11612 EMERALD FALLS DR, AUSTIN, TX 78738-5327
(512) 940-4541
Mailing address
11612 EMERALD FALLS DR, AUSTIN, TX 78738-5327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2037398
TX
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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