Individual
BARRY DIKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
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
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098580
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
09/06/2012
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