Individual
DR. ALISHA N MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2305 FOREST AVE, AUSTIN, TX 78704-5519
(512) 983-3380
Mailing address
2305 FOREST AVE, AUSTIN, TX 78704-5519
(512) 983-3380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0015766
CO
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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