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Organization
423 THERAPY PLLC
Active
Organization
423 THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CIRAULO (MEMBER)
(808) 238-9177
Entity
Organization
Contact information
Practice address
6850 MANHATTAN BLVD STE 300-1, FORT WORTH, TX 76120-1227
(469) 698-6934
(972) 692-8485
Mailing address
PO BOX 822642, NORTH RICHLAND HILLS, TX 76182-2642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
03/24/2019
Last updated
04/19/2023
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