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1932879905
JENNIFER REVELL
AUSTIN, TX
NPI
1932879905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2159427)
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
JENNIFER REVELL
13195 BURNET RD SUITE 204
AUSTIN, TX 78728
Phone number: 817-505-2575
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Mailing Address
JENNIFER REVELL
13195 BURNET RD SUITE 204
AUSTIN, TX 78728
Phone number:
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