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Organization
TARRANT COUNTY PHYSICAL THERAPY
Active
Organization
TARRANT COUNTY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L LARSON PT (CLINIC DIRECTOR)
(817) 923-1800
Entity
Organization
Contact information
Practice address
1617 PARK PLACE AVE STE 110, FT WORTH, TX 76110-1300
(817) 923-1800
(817) 923-2059
Mailing address
1617 PARK PLACE AVE STE 110, FT WORTH, TX 76110-1300
(817) 923-1800
(817) 923-2059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1043453
TX
225100000X
Physical Therapist
1065415
TX
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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