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1619654969
AUSTIN MATTHEW GROOMS
ROANOKE, VA
NPI
1619654969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2171914)
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
AUSTIN MATTHEW GROOMS PTA
3837 BRANDON AVE SW
ROANOKE, VA 24018-1441
Phone number: 540-776-2616
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Mailing Address
AUSTIN MATTHEW GROOMS PTA
307 E MISTLETOE AVE
SAN ANTONIO, TX 78212-3513
Phone number: 423-736-6230
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