Individual
AUSTIN MATTHEW GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3837 BRANDON AVE SW, ROANOKE, VA 24018-1441
(540) 776-2616
Mailing address
307 E MISTLETOE AVE, SAN ANTONIO, TX 78212-3513
(423) 736-6230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2171914
TX
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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