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Individual

ANTHONY D RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1907 WINDSOR PL, FORT WORTH, TX 76110-1845
(817) 690-3788
Mailing address
3425 RIVERSTONE WAY, #924, FORT WORTH, TX 76116-0786
(817) 690-3788

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT112530
TX

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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