Individual
RENE K. CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1319 SUMMIT AVE STE 100, FORT WORTH, TX 76102-4433
(817) 339-3900
(817) 339-3983
Mailing address
1319 SUMMIT AVE STE 100, FORT WORTH, TX 76102-4433
(817) 339-3900
(817) 339-3983
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015442
TX
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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