Individual
REBECCA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
26935 NORTHWESTERN HWY, SOUTHFIELD, MI 48033
(947) 522-1133
Mailing address
6525 2ND AVE, DETROIT, MI 48202-3006
(313) 972-4196
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
2255A2300X
Athletic Trainer
Primary
260100124
MI
Other
Enumeration date
02/07/2014
Last updated
08/07/2018
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