Individual
DEVINA MONIQUE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
903 RIVER HAVEN DR., GEORGETOWN, TX 78626
(512) 930-4995
Mailing address
11522 B RUSTIC ROCK DR., AUSTIN, TX 78750
(512) 296-4925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2060772
TX
Other
Enumeration date
09/11/2007
Last updated
11/18/2009
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