Individual
ALLISYN DANIELLE ROGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3141 DALHART DR, FORT WORTH, TX 76179-2663
(851) 481-7918
Mailing address
10133 CHAPEL OAK TRL, FORT WORTH, TX 76116-1234
(817) 907-9718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2158781
TX
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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