Individual
MRS. DANIETA KAY GRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12460 WOODS EDGE TRL, FORT WORTH, TX 76244-9408
(817) 637-0368
Mailing address
12460 WOODS EDGE TRL, FORT WORTH, TX 76244-9408
(817) 637-0368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
01/27/2025
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