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Individual
VICTORIA AUSTIN
Active
Individual
VICTORIA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-149219
GA
225200000X
Physical Therapy Assistant
Primary
CPO13255A
GA
Other
Enumeration date
12/22/2020
Last updated
09/07/2022
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