Individual
SUSAN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, CDP
Contact information
Practice address
300 LABORATORY RD, OAK RIDGE, TN 37830-6911
(865) 482-7698
Mailing address
12630 PONY EXPRESS DR, KNOXVILLE, TN 37934-4410
(865) 686-2968
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2880
TN
314000000X
Skilled Nursing Facility
2880
TN
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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