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Organization
SMART INSTITUTE
Active
Organization
SMART INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO BRAVOMALO LPT (OWNER/DIRECTOR)
(817) 377-3422
Entity
Organization
Contact information
Practice address
3600 W 7TH ST, FORT WORTH, TX 76107-2534
(817) 377-3422
(817) 735-8615
Mailing address
3600 W 7TH ST, FORT WORTH, TX 76107-2534
(817) 377-3422
(817) 735-8615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1067213
TX
225100000X
Physical Therapist
1115103
TX
225100000X
Physical Therapist
1142016
TX
225100000X
Physical Therapist
1142990
TX
225X00000X
Occupational Therapist
109562
TX
235Z00000X
Speech-Language Pathologist
101365
TX
235Z00000X
Speech-Language Pathologist
Primary
102607
TX
Other
Enumeration date
08/24/2006
Last updated
09/11/2025
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