Individual
ANIA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LAKESIDE DR, LYNCHBURG, VA 24501
(540) 250-3014
Mailing address
4734 CROSBY LANE, PULASKI, VA 24301
(540) 250-3014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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