Individual
AARON COOLIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 8TH AVE, SUITE 301, FORT WORTH, TX 76104-4110
(817) 922-7105
Mailing address
1821 THOMAS PL, FORT WORTH, TX 76107-3964
(575) 430-1313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115899
TX
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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