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Individual

EDEN KIRSTEN AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1117 YARD ST, GRANDVIEW HEIGHTS, OH 43212-3930
(614) 591-0791
Mailing address
13913 COURTLAND LN, UPPER MARLBORO, MD 20772-6939
(301) 821-6068

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28488
MD
225100000X
Physical Therapist
CP014616T
VA
225100000X
Physical Therapist
Primary
CP014659T
OH
225100000X
Physical Therapist
PT872763
DC

Other

Enumeration date
10/05/2021
Last updated
10/03/2022
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