Individual
HEIDI PELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 ONION CREEK PKWY, AUSTIN, TX 78748-1948
(512) 291-4900
Mailing address
7709 MANCHACA RD UNIT 12, AUSTIN, TX 78745-6026
(917) 579-8010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069877
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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