Individual
MYRA S AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LRT/CTRS
Contact information
Practice address
2551 HOMESTEAD RD, CHAPEL HILL, NC 27516-9087
(919) 968-2073
(919) 968-2093
Mailing address
2551 HOMESTEAD RD, CHAPEL HILL, NC 27516-9087
(919) 968-2073
(919) 968-2093
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
225800000X
NC
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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