Individual
MRS. ROSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5417 ALTAMESA BLVD, FORT WORTH, TX 76123-2804
(817) 370-6222
Mailing address
8525 GARY CT, NORTH RICHLAND HILLS, TX 76182-7445
(817) 427-1905
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055387
TX
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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