Provider Demographics
NPI:1255529863
Name:PRICE, DEBORAH (PTA)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12708 RIATA VISTA CIR
Mailing Address - Street 2:SUITE A126
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-7167
Mailing Address - Country:US
Mailing Address - Phone:512-637-2002
Mailing Address - Fax:512-637-2002
Practice Address - Street 1:9101 BURNET RD
Practice Address - Street 2:SUITE 103
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5254
Practice Address - Country:US
Practice Address - Phone:512-248-2422
Practice Address - Fax:512-637-2007
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2040525225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant