Individual
AUSTIN VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2550 BOYD AVE, FORT WORTH, TX 76109-1021
(817) 480-3798
Mailing address
PO BOX 100991, FORT WORTH, TX 76185-0991
(817) 480-3798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10801
LA
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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