Individual
ANGELA VIZCAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12345 ALTA VISTA RD STE 113, FORT WORTH, TX 76244-6436
(682) 593-2550
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(803) 812-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1400039
TX
Other
Enumeration date
08/28/2024
Last updated
09/11/2024
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