Individual
MADISON ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 TEXAS ST, FORT WORTH, TX 76102-3400
(817) 338-2400
Mailing address
2 NAVASOTA CIR, WICHITA FALLS, TX 76309-1420
(940) 642-5890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120723
TX
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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