Organization
WOERNER PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE B WOERNER PT, DPT, WCS, CLT (OWNER,PHYSICAL THERAPIST)
(682) 235-3816
Entity
Organization
Contact information
Practice address
1000 BONNIE BRAE AVE, FORT WORTH, TX 76111-4355
(682) 235-3816
Mailing address
PO BOX 12321, FORT WORTH, TX 76110-8321
(682) 235-3816
(817) 887-2719
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1183949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8L3503
MEDICARE
TX
Enumeration date
03/07/2016
Last updated
03/10/2023
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