Individual
MRS. LYNETTE BLANCHE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3540 CRESTRIDGE DR, GRANBURY, TX 76048-4605
(817) 408-3800
(817) 408-3900
Mailing address
3540 CRESTRIDGE DR, GRANBURY, TX 76048-4605
(817) 408-3800
(817) 408-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2024032
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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