Individual
CLINT DAVID FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9101 PANTHERWAY, WOODWAY, TX 76712-8614
(254) 537-9200
Mailing address
10008 SHAWNEE TRL, WACO, TX 76712-8875
(254) 723-4441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018131
TX
2251G0304X
Geriatric Physical Therapist
2018131
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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