Individual
JESSICA DALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(817) 300-0399
Mailing address
221 BEECHGROVE TER, FORT WORTH, TX 76140-6535
(817) 300-0399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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