Individual
CHARLES AUSTIN MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5612 EDWARDS RANCH ROAD, FORT WORTH, TX 76109
(817) 259-0600
Mailing address
4418 WINDING CREEK CT, ARLINGTON, TX 76016-3419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1361337
TX
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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