Individual
KELLY NICOLE MARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 370-6350
Mailing address
3451 RIVER PARK DR APT 1413, FORT WORTH, TX 76116-9584
(951) 551-1848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2154420
TX
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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