Organization
BOOST BABIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ZUIKER PT, DPT (PHYSICAL THERAPIST/OWNER)
(512) 809-1329
Entity
Organization
Contact information
Practice address
6718 LA CONCHA PASS, AUSTIN, TX 78749-1716
(512) 809-1329
Mailing address
6718 LA CONCHA PASS, AUSTIN, TX 78749-1716
(512) 809-1329
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
1238598
TX
261QP2000X
Physical Therapy Clinic/Center
1238598
TX
Other
Enumeration date
08/07/2017
Last updated
08/06/2019
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