Individual
CHAUNDRA JA'NIECE DEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(682) 738-3056
(682) 738-3272
Mailing address
350 LAS COLINAS BLVD E APT 4077, IRVING, TX 75039-5823
(682) 472-1404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2125483
TX
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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