MARISA KRISANANUWATARA

AUSTIN, TX
NPI1336622646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2113050)
Enumeration Date2018-09-12
Last Update Date2018-09-12
Business Address
MARISA KRISANANUWATARA
12021 METRIC BLVD
AUSTIN, TX 78758-8616
Phone number: 512-228-3300
Mailing Address
MARISA KRISANANUWATARA
6805 LA SALLE DR
AUSTIN, TX 78723-2211
Phone number: 151-258-7447