Individual
MRS. MARY K AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 RIVERFRONT DR, LITTLE ROCK, AR 72202
(501) 663-6965
(501) 603-0675
Mailing address
304 N PALM ST, LITTLE ROCK, AR 72205-3831
(501) 664-3199
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
814
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116100721
—
AR
Enumeration date
09/18/2008
Last updated
12/12/2011
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