Xavier Diaz Soto, PTA
Physical Therapy Assistant in Georgetown, TX. Individual provider (NPI-1).
NPI number1891275673
StatusActive
Last updated in NPPESAug 21, 2018
Details
- NPI
- 1891275673
- Entity type
- Individual (NPI-1)
- Name
- Xavier Diaz Soto
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2018
- Last updated
- Aug 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2077452 | TX | Yes |
Practice location
2001 Scenic DrGeorgetown, TX 78626-7725
Phone 512-863-9511
Mailing address
310 Grand Junction TrlGeorgetown, TX 78626-7088
Phone 432-556-9526
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All 25 Physical Therapy Assistant providers in Georgetown · All 2,238 providers in Georgetown
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