Individual
DEBBIE DIANE NEUNDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1651 W. ROSEDALE, SUITE 200, FORT WORTH, TX 76104-7437
(817) 810-0001
(817) 810-0054
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 810-0054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1188481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213118702
—
TX
Enumeration date
02/11/2008
Last updated
12/11/2012
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