ITALI HERRON

GEORGETOWN, TX
NPI1053086959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2161087)
Enumeration Date2021-08-12
Last Update Date2021-08-12
Business Address
ITALI HERRON PTA
3415 WILLIAMS DR STE 145
GEORGETOWN, TX 78628-2886
Phone number: 512-887-4544
Mailing Address
ITALI HERRON PTA
205 PEGGY DR
LIBERTY HILL, TX 78642-4459
Phone number: 254-661-3917