Individual
RAYNAL JEREMY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2920 SHALAKO DR APT 1806, FORT WORTH, TX 76116-9620
(817) 291-7912
Mailing address
2920 SHALAKO DR APT 1806, FORT WORTH, TX 76116-9620
(817) 291-7912
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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