Itali Herron, PTA
NPI #1053086959 in Georgetown, Texas
Provider Information
- NPI Number
- 1053086959
- Entity Type
- Individual
- Name
- Itali Herron, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 12, 2021
- Last Updated
- Aug 12, 2021
Practice Location
- Address
- 3415 WILLIAMS DR STE 145
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-2886
- Phone
- (512) 887-4544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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