Individual
ANDREW SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
137 INDUSTRIAL AVE, AZLE, TX 76020-2991
(817) 270-2975
Mailing address
6501 HARRIS PKWY, FORT WORTH, TX 76132-6102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192079501
—
TX
Enumeration date
07/11/2017
Last updated
11/07/2019
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