Individual
EMILY E WASCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1001 12TH AVE STE 201, FORT WORTH, TX 76104-3946
(817) 719-7714
Mailing address
1001 12TH AVE STE 201, FORT WORTH, TX 76104-3946
(817) 719-7714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1304961
TX
Other
Enumeration date
08/14/2018
Last updated
09/16/2022
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