Individual
LUCAS LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1001 12TH AVE STE 201, FORT WORTH, TX 76104-3946
(817) 719-7714
(817) 796-1114
Mailing address
1001 12TH AVE STE 201, FORT WORTH, TX 76104-3946
(817) 719-7714
(817) 796-1114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1348949
TX
2251X0800X
Orthopedic Physical Therapist
Primary
OR230977
TX
Other
Enumeration date
08/09/2021
Last updated
12/22/2025
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