Individual
RAHAM TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9117 FESCUE DR, FORT WORTH, TX 76179-8182
(817) 682-2960
Mailing address
9117 FESCUE DR, FORT WORTH, TX 76179-8182
(817) 682-2960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2166524
TX
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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