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1396339628
AUSTIN VIDRINE
FORT WORTH, TX
NPI
1396339628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 10801)
Enumeration Date
2021-02-26
Last Update Date
2021-02-26
Business Address
AUSTIN VIDRINE DPT
2550 BOYD AVE
FORT WORTH, TX 76109-1021
Phone number: 817-480-3798
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Mailing Address
AUSTIN VIDRINE DPT
PO BOX 100991
FORT WORTH, TX 76185-0991
Phone number: 817-480-3798
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