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Organization

TUMBLE AUTHORITY PHYSICAL THERAPY

Active
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Organization

TUMBLE AUTHORITY PHYSICAL THERAPY

Active
Other names
West DFW Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
ISAAC DEANDA (PHYSICAL THERAPIST)
(817) 386-4144
Entity
Organization

Contact information

Practice address
5608 MALVEY AVE STE 204, FORT WORTH, TX 76107-5108
(817) 386-4144
(817) 386-4144
Mailing address
10404 MORNING DEW ST, FORT WORTH, TX 76108-4922
(325) 267-4111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—

Other

Enumeration date
03/13/2023
Last updated
01/06/2025
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