Individual
ALEXANDER COLLIGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 SAINT LOUIS AVE STE 102, FORT WORTH, TX 76104-3377
(817) 921-5020
Mailing address
2123 STANLEY AVE, FORT WORTH, TX 76110-1837
(812) 489-0519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013956
GA
Other
Enumeration date
06/06/2019
Last updated
06/07/2019
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