Individual
KELLI ANNE BESANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11751 ALTA VISTA RD, FORT WORTH, TX 76244-6441
(817) 431-4242
Mailing address
12601 LILLYBROOK LN, FORT WORTH, TX 76244-5747
(617) 304-1232
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1204970
TX
Other
Enumeration date
08/18/2008
Last updated
01/30/2014
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