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1053086959
ITALI HERRON
GEORGETOWN, TX
NPI
1053086959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2161087)
Enumeration Date
2021-08-12
Last Update Date
2021-08-12
Business Address
ITALI HERRON PTA
3415 WILLIAMS DR STE 145
GEORGETOWN, TX 78628-2886
Phone number: 512-887-4544
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Mailing Address
ITALI HERRON PTA
205 PEGGY DR
LIBERTY HILL, TX 78642-4459
Phone number: 254-661-3917
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