Individual
MICHAEL DAVID CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2645 W RANDOL MILL RD, ARLINGTON, TX 76012-4228
(817) 277-6789
Mailing address
709 WILLOW RIDGE RD, FORT WORTH, TX 76103-1249
(682) 472-8696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2043248
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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