Individual
EVANS OPPONG-MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
424 S ADAMS ST, FORT WORTH, TX 76104-1003
(817) 335-5781
Mailing address
8501 EASTON LN APT 418, FORT WORTH, TX 76120-2748
(210) 501-4054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2073157
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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