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Individual

REBECCA MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
8108 SUNSCAPE LN, FORT WORTH, TX 76123-1968
(817) 896-5903
Mailing address
8108 SUNSCAPE LN, FORT WORTH, TX 76123-1968

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1219530
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149984001
TX
05
207164901
TX
Enumeration date
10/16/2012
Last updated
10/16/2012
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