Healthcare Provider Details

I. General information

NPI: 1093621195
Provider Name (Legal Business Name): AUSTIN ARMSTRONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E DERENNE AVE
SAVANNAH GA
31405-6736
US

IV. Provider business mailing address

306 KEEN WAY
GUYTON GA
31312-6578
US

V. Phone/Fax

Practice location:
  • Phone: 912-644-5300
  • Fax:
Mailing address:
  • Phone: 912-644-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT010050
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: