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Individual

MISS DAISY VAIL RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
101 WATERMERE DR, SOUTHLAKE, TX 76092-8116
(817) 476-3559
Mailing address
3337 SPRUCE LN, GRAPEVINE, TX 76051-7154

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/08/2023
Last updated
02/08/2023
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