Individual
LISA MARIE MILADINOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 297-9670
Mailing address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 297-9670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2093003
TX
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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