Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 12518 | TN |
N | 2251H1200X | Hand | 004444 | CT |
N | 2251H1200X | Hand | 2305208812 | VA |
NPI | 1982602645 |
---|---|
Provider Name | Ms. Noelle M Austin |
First Address | Fortson, GA 31808-0370 |
Second Address | Nashville, TN 37207-2533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 29/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0446631 | (05) | TN |