AUSTIN VIDRINE

FORT WORTH, TX
NPI1396339628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  10801)
Enumeration Date2021-02-26
Last Update Date2021-02-26
Business Address
AUSTIN VIDRINE DPT
2550 BOYD AVE
FORT WORTH, TX 76109-1021
Phone number: 817-480-3798
Mailing Address
AUSTIN VIDRINE DPT
PO BOX 100991
FORT WORTH, TX 76185-0991
Phone number: 817-480-3798