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1659847952
STEPHANIE PORTER CHILDS
AUSTIN, TX
NPI
1659847952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1153150)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
STEPHANIE PORTER CHILDS PT
12524 CAPELLA TRL
AUSTIN, TX 78732-2394
Phone number: 512-547-5112
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Mailing Address
STEPHANIE PORTER CHILDS PT
4033 OUTPOST TRCE
LAGO VISTA, TX 78645-6460
Phone number: 512-547-5112
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