Individual
DAVINA ANDREA DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4515 VILLAGE CREEK RD, FORT WORTH, TX 76119-4158
(817) 451-8704
Mailing address
3912 SAN LUIS CT, ARLINGTON, TX 76016-2741
(816) 217-1658
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2129301
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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