Individual
MR. HENRY KOFI PLANGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
250 BENS TRL, FORT WORTH, TX 76120-7000
(817) 514-1544
Mailing address
250 BENS TRL, FORT WORTH, TX 76120-7000
(817) 514-1544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2114122
TX
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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