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NPI Code Detail

MEDICARE: AMANDA RAE ALGER DPT

MEDICARE:   AMANDA RAE ALGER  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1290106TX

General Provider Information

NPI Number : 1487171716
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA RAE ALGER DPT
Provider Business Mailing Address
First Line : 1201 S IH 35 STE 105
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-6646
Country : US
Telephone Number : 512-310-7665
Fax Number : 512-310-9228
Provider Business Practice Location Address
First Line : 1201 S IH 35 STE 105
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-6646
Country : US
Telephone Number : 512-310-7665
Fax Number : 512-310-9228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2017
Last Update Date : 07/21/2022

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Directions to “ AMANDA RAE ALGER DPT” Practice Location

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