Individual
DEBORAH JANE LANDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1825 FORTVIEW RD STE 109, AUSTIN, TX 78704-7655
(512) 892-5250
Mailing address
1501 BOULDIN AVE, UNIT A, AUSTIN, TX 78704-3416
(214) 437-8265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1207646
TX
Other
Enumeration date
06/27/2011
Last updated
03/08/2012
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