Individual
ERICA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 ANGLE AVE, FORT WORTH, TX 76106-3559
(817) 624-6164
Mailing address
2328 STADIUM DR, FORT WORTH, TX 76109-1052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143130
TX
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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