Organization
ASCEND SPORTS & ORTHOPAEDIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN MORA DPT (OWNER/THERAPIST)
(817) 785-3344
Entity
Organization
Contact information
Practice address
3901 AIRPORT FWY STE 115, BEDFORD, TX 76021-6117
(817) 785-3344
(214) 614-4165
Mailing address
3901 AIRPORT FWY STE 115, BEDFORD, TX 76021-6117
(817) 785-3344
(214) 614-4165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1228490
TX
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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