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1861275810
ALYSSA NICOLE DIAZ
AUSTIN, TX
NPI
1861275810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2178755)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
ALYSSA NICOLE DIAZ PTA
5401 LA CROSSE AVE STE 101
AUSTIN, TX 78739-2160
Phone number: 512-852-8134
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Mailing Address
ALYSSA NICOLE DIAZ PTA
1200 ESTANCIA PKWY APT 336
AUSTIN, TX 78748-2446
Phone number: 254-258-9272
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