Individual
AZURE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 W RANDOL MILL RD FL 6, ARLINGTON, TX 76012-2504
(817) 601-8000
(352) 382-1146
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 804-9961
(352) 382-1146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2154612
TX
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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