ALENA BOLSHAKOVA

AUSTIN, TX
NPI1922606862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2157760)
Enumeration Date2020-10-13
Last Update Date2020-10-13
Business Address
ALENA BOLSHAKOVA PTA
3120 SUN DRENCHED PATH
AUSTIN, TX 78732-1950
Phone number: 404-493-1628
Mailing Address
ALENA BOLSHAKOVA PTA
3120 SUN DRENCHED PATH
AUSTIN, TX 78732-1950
Phone number: 404-493-1628