Individual
AUSTIN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2839 SW 87TH DR STE 10, GAINESVILLE, FL 32608-9376
(352) 505-6665
Mailing address
2839 SW 87TH DR STE 10, GAINESVILLE, FL 32608-9376
(352) 505-6665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA31569
PTA LICENSE
FL
Enumeration date
12/08/2021
Last updated
12/08/2021
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