Individual
MRS. CHERYL DIANE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 WATERMERE DR, SOUTHLAKE, TX 76092-8116
(817) 431-8668
Mailing address
1315 OAK HILL RD, KELLER, TX 76248-4208
(817) 676-3903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2050549
TX
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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