512 Physical Therapy and Golf Performance Center

NPI #1285189134 in Austin, Texas

Provider Information

NPI Number: 1285189134
Entity Type: Organization
Organization Name: 512 Physical Therapy and Golf Performance Center
Primary Specialty: Physical Therapist
Enumeration Date: Aug 22, 2016
Last Updated: Mar 3, 2022

Practice Location

Address: 4425 S MOPAC EXPY STE 101
City: Austin
State: Texas
ZIP Code: 78735-6710
Phone: (512) 669-2162

Authorized Official

Name: ROBERT JEROME ODELL, PT
Title: OWNER
Phone: (512) 699-2162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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