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Individual

MR. RAYMOND YARBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATP

Contact information

Practice address
11110 METRIC BLVD STE A, AUSTIN, TX 78758-4097
(512) 663-7477
Mailing address
8217 SUMMER SIDE DR, AUSTIN, TX 78759-8315
(512) 845-8389

Taxonomy

Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
ATP 52501
TX
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ATP 52501
RESNA
TX
Enumeration date
11/08/2013
Last updated
04/18/2024
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