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Individual

DEBRA R AARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105674
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
335517401
TX
01
894T66
BCBS
TX
Enumeration date
09/30/2013
Last updated
10/16/2014
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