Individual
AVERY KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9101 BURNET RD STE 103, AUSTIN, TX 78758-5260
(512) 248-2242
(512) 248-2354
Mailing address
9101 BURNET RD STE 103, AUSTIN, TX 78758-5260
(512) 248-2422
(512) 248-2354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1317518
TX
2251P0200X
Pediatric Physical Therapist
1317518
TX
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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