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Individual
MICHAEL JOSEPH AUGUSTINE
Active
Individual
MICHAEL JOSEPH AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19582
NC
225100000X
Physical Therapist
PT017416
PA
2255A2300X
Athletic Trainer
RT000999A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
819311
1ST PRIORITY MOTION
—
01
—
AU1736120
BLUE SHIELD HIGHMARK
PA
Enumeration date
08/30/2005
Last updated
06/10/2020
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