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1871256503
LISA C PRUETT
CEDAR PARK, TX
NPI
1871256503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2136106)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
LISA C PRUETT PTA
1500 N LAKELINE BLVD
CEDAR PARK, TX 78613-6788
Phone number: 512-817-1842
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Mailing Address
LISA C PRUETT PTA
512 GLACIAL STREAM LN
CEDAR PARK, TX 78613-7665
Phone number: 737-529-2496
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