Individual
JASON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2312 FOXGLEN CT, FORT WORTH, TX 76131-1715
(214) 783-9818
Mailing address
2312 FOXGLEN CT, FORT WORTH, TX 76131-1715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2116631
TX
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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