Organization
LEAD PEDIATRIC PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSY BOOHER PT, PCS (OWNER)
(571) 212-6145
Entity
Organization
Contact information
Practice address
3462 BLUE BONNET CIR STE A, FORT WORTH, TX 76109-2962
(682) 231-2674
(817) 264-7958
Mailing address
4912 RIVERBEND DR, FORT WORTH, TX 76109-2435
(571) 212-6145
(817) 264-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/09/2026
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