Organization
B. WELL PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY DIKES MPT (COO)
(817) 737-0006
Entity
Organization
Contact information
Practice address
6913 CAMP BOWIE BLVD, #107, FORT WORTH, TX 76116-7163
(817) 737-0006
Mailing address
6913 CAMP BOWIE BLVD, #107, FORT WORTH, TX 76116-7163
(817) 737-0006
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1098580
TX
Other
Enumeration date
07/08/2008
Last updated
09/10/2012
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