Individual
KATHY GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6815 MANHATTAN BLVD, SUITE 204, FT WORTH, TX 76120-1204
(817) 507-1500
Mailing address
6815 MANHATTAN BLVD, SUITE 204, FT WORTH, TX 76120-1204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2067862
TX
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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