Individual
MONICA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 FOLKSTONE WAY, BEDFORD, TX 76021-7974
(817) 456-1569
Mailing address
2413 FOLKSTONE WAY, BEDFORD, TX 76021-7974
(817) 456-1569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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