Individual
LUDINE AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10640 N RIVERSIDE DR, FORT WORTH, TX 76244-9502
(817) 431-9000
Mailing address
10640 N RIVERSIDE DR, FORT WORTH, TX 76244-9502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122598
LICENSE NUMBER
TX
Enumeration date
04/01/2022
Last updated
04/01/2022
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