Individual
KELLY DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6601 HARRIS PKWY, FORT WORTH, TX 76132-6108
(817) 738-9866
Mailing address
6601 HARRIS PKWY, FORT WORTH, TX 76132-6108
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1262376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/09/2020
Last updated
04/09/2020
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