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1518689835
LAUREN ELISE WONDERLY
AUSTIN, TX
NPI
1518689835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
LAUREN ELISE WONDERLY PTA
13915 BURNET RD STE 204
AUSTIN, TX 78728-6537
Phone number: 817-505-2575
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Mailing Address
LAUREN ELISE WONDERLY PTA
2309 RANCH ROAD 12
SAN MARCOS, TX 78666-2435
Phone number: 512-557-6664
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