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1336913797
PTFORMANCE
AUSTIN, TX
NPI
1336913797
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Entity Type
Organization
Authorized Contact
KODY MARCUS KRUPPS
Owner
309-712-1668
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
PTFORMANCE
110 JACOB FONTAINE LN APT 103
AUSTIN, TX 78752-3402
Phone number: 309-712-1668
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Mailing Address
PTFORMANCE
110 JACOB FONTAINE LN APT 103
AUSTIN, TX 78752-3402
Phone number: 309-712-1668
Copy
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