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Individual

MR. JEFFREY CHARLES RAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, MS, FAAOMPT

Contact information

Practice address
1109 8TH AVE, FORT WORTH, TX 76104-4102
(817) 338-4220
(970) 870-8099
Mailing address
1659 SOTOGRANDE BLVD, HURST, TX 76053-8119
(817) 301-2622

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
9316
CO
2251X0800X
Orthopedic Physical Therapist
Primary
1135044
TX
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
1135044
TX

Other

Enumeration date
11/07/2006
Last updated
09/15/2008
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