Individual
PERSEPHANIE JAYNE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1060 W PIPELINE RD, SUITE 104, HURST, TX 76053-4732
(817) 291-9014
Mailing address
7616 FOX RIVER CT, FORT WORTH, TX 76120-3411
(817) 457-2743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT046271
TX
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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