Individual
MISS JULIA WAMBUGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6141 AVERY DR, APT 7207, FORT WORTH, TX 76132-5316
(901) 340-1450
Mailing address
6141 AVERY DR, APT 7207, FORT WORTH, TX 76132-5316
(901) 340-1450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2094738
TX
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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