Amy Mogensen
Physical Therapist in Austin, TX. Individual provider (NPI-1).
NPI number1609623131
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1609623131
- Entity type
- Individual (NPI-1)
- Name
- Amy Mogensen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- Apr 20, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1391377 | TX | Yes |
Practice location
2500 W William Cannon Dr Ste 409Austin, TX 78745-5290
Phone 512-852-8434
Mailing address
209 Dorchester DrUhland, TX 78640-2882
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