Individual
JENNIFER REVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13195 BURNET RD, SUITE 204, AUSTIN, TX 78728
(817) 505-2575
Mailing address
13195 BURNET RD, SUITE 204, AUSTIN, TX 78728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2159427
TX
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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