Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 28, 2021
License(s)
1020576 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 9205 PLANTATION DRIVE SUITE 107 | Granbury, TX 76049 | 871-573-2726 |
| MAILING | 1021 HOLDEN ST. REHAB DEPT. | Glen Rose, TX 76043 | 254-897-3176 |
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