Individual
MRS. ALICIA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-018865
IL
225100000X
Physical Therapist
1194340
TX
Other
Enumeration date
04/18/2011
Last updated
03/28/2012
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