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1336622646
MARISA KRISANANUWATARA
AUSTIN, TX
NPI
1336622646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2113050)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
MARISA KRISANANUWATARA
12021 METRIC BLVD
AUSTIN, TX 78758-8616
Phone number: 512-228-3300
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Mailing Address
MARISA KRISANANUWATARA
6805 LA SALLE DR
AUSTIN, TX 78723-2211
Phone number: 151-258-7447
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