Individual
DR. BLAISE ANTHONY LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4617 W BAILEY BOSWELL RD, FORT WORTH, TX 76179-4327
(972) 979-6577
Mailing address
8226 VILLA LAGO DR APT 1028, FORT WORTH, TX 76179-2261
(732) 684-8377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02392200
NJ
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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