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Individual

DR. PAMELA DEAN RAST

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD, LAT, ATC

Contact information

Practice address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(817) 531-4876
(817) 531-4229
Mailing address
3425 MAYHILL CT, ARLINGTON, TX 76014-3343
(817) 531-4876
(817) 531-4229

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0665
TX

Other

Enumeration date
02/09/2006
Last updated
07/08/2007
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