Individual
JERROD MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1106 ALSTON AVE STE 120, FORT WORTH, TX 76104-4622
(817) 332-0660
Mailing address
448 FUENTE, IRVING, TX 75039-3408
(940) 642-2966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2170335
TX
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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