Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 18, 2025
License(s)
1400620 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4501 HERITAGE TRACE PKWY | Fort Worth, TX 76244-8940 | 817-481-2121 |
| MAILING | 4005 LANDISBURG TRL | Fort Worth, TX 76244-5751 | 347-332-9597 |
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