Individual
JOSEPH DRU GUDMESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2500 WEST FREEWAY, FORT WORTH, TX 76102
(972) 720-7915
Mailing address
2500 WEST FREEWAY, FORT WORTH, TX 76102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2063199
TX
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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