Individual
MICHELLE BAMIDELE FAGBEYIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6049 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 483-1746
Mailing address
6049 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 483-1746
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2112615
TX
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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