Dustin James Boling, ATP
Technician, Other in Austin, TX. Individual provider (NPI-1).
NPI number1356624738
StatusActive
Last updated in NPPESSep 5, 2013
Details
- NPI
- 1356624738
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dustin James Boling
- Credential
- ATP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2011
- Last updated
- Sep 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 44298 | – | Yes |
| 225CA2400X | Rehabilitation Counselor, Assistive Technology Practitioner | ATP 44298 | – | |
| 225CA2500X | Rehabilitation Counselor, Assistive Technology Supplier | ATP 44298 | – |
Practice location
7801 N Lamar BlvdSuite C-65
Austin, TX 78752-1016
Phone 512-476-0500 · Fax 512-462-0110
Mailing address
7801 N Lamar BlvdSuite C-65
Austin, TX 78752-1016
Phone 512-476-0500 · Fax 512-462-0110
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