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Individual

MRS. LISA MARI CECIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
10840 TEXAS HEALTH TRAIL, STE 110, FT WORTH, TX 76052
(682) 212-5000
Mailing address
10840 TEXAS HEALTH TRAIL, STE 110, FT WORTH, TX 76052
(682) 212-5000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1207556
TX

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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