Basic Information
| Provider Information | |||||||||
| NPI: | 1316523657 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | AUSTIN | ||||||||
| FirstName: | WARREN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 CORPORATE DR | ||||||||
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| City: | HOOVER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352422941 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236828840 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1130 N CHURCH ST STE 201 | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274011041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362751711 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2021 | ||||||||
| LastUpdateDate: | 03/18/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.