Individual
PALAK Y PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
901 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2226
(817) 335-3030
Mailing address
8133 CHARFORD DR, FORT WORTH, TX 76131-1638
(734) 353-7372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
10859913-2402
UT
225200000X
Physical Therapy Assistant
Primary
CP004753A
TX
Other
Enumeration date
03/03/2022
Last updated
12/05/2023
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