Individual
EMILY L PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
3533 MATLOCK RD, ARLINGTON, TX 76015-3604
(817) 419-0303
(833) 626-1951
Mailing address
8200 HORNISHER WAY APT 5105, ARLINGTON, TX 76002-5603
(207) 231-4107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1347917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1347917
PHYSICAL THERAPY
TX
01
—
2000014829
BOC ATC
—
Enumeration date
10/16/2013
Last updated
02/06/2024
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