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Individual

ANNA IVON KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3840 HULEN ST STE 100, FORT WORTH, TX 76107-7269
(817) 569-4300
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4300

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1219343
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
338175801
TX
01
8TAB69
BLUE CROSS BLUE SHIELD
Enumeration date
09/04/2014
Last updated
01/30/2026
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