Individual
BRITTANY DANIELLE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(682) 738-3262
Mailing address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022
(682) 738-3056
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2127229
TX
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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