Individual
LIEN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 SUMMIT AVE, FORT WORTH, TX 76102-3425
(817) 877-1199
Mailing address
1111 SUMMIT AVE, FORT WORTH, TX 76102-3425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2141042
TX
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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