Individual
MS. MARY ELIZABETH FORET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T,
Contact information
Practice address
8855 VALLEY RANCH PKWY W, IRVING, TX 75063-4630
(469) 619-0847
(972) 830-1726
Mailing address
3129 FOX RUN DRIVE, GRAPEVINE, TX 76051
(817) 684-0681
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1165098
TX
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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