Individual
DONNA STAVINOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1405 NORTHRIDGE DR, AUSTIN, TX 78723-1824
(512) 699-1043
(512) 420-9770
Mailing address
1405 NORTHRIDGE DR, AUSTIN, TX 78723-1824
(512) 699-1043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1110963
TX
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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