Individual
LAUREN BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5301 BRYANT IRVIN RD, FORT WORTH, TX 76132-4030
(817) 754-7558
Mailing address
5301 BRYANT IRVIN RD, FORT WORTH, TX 76132-4030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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