Individual
ANDREA LISSETTE AMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2712 BEE CAVES RD STE 110, AUSTIN, TX 78746-5662
(512) 732-2220
Mailing address
1512 BRYAN ST, EAGLE PASS, TX 78852-4914
(832) 674-5918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1334383
TX
Other
Enumeration date
10/23/2020
Last updated
05/14/2021
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