Individual
IRENE ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 BRAHORN LN, FORT WORTH, TX 76131-1625
(908) 764-4052
Mailing address
1932 BRAHORN LN, FORT WORTH, TX 76131-1625
(908) 764-4052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2119471
TX
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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