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Individual

CATHY VENEGAS CERDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7824 LANDERS LN, FORT WORTH, TX 76135-9007
(214) 587-4994
Mailing address
7824 LANDERS LN, FORT WORTH, TX 76135-9007
(214) 587-4994

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1281032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158966501
TX
Enumeration date
08/22/2016
Last updated
04/28/2023
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