Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 17, 2020
License(s)
1066983 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1219 AUTUMN MIST WAY | Arlington, TX 76005-4531 | 817-896-2294 |
| LOCATION | 801 ROAD TO SIX FLAGS W STE 147 | Arlington, TX 76012-2600 | 817-462-8111 |
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