Individual
LEZLI BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4600 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-8900
(817) 741-9063
Mailing address
2264 JUSTUS ST APT 2306, FORT WORTH, TX 76177-2050
(214) 287-2060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2040186
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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