Individual
ARELLY VANESSA ORTA-GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MTI
Contact information
Practice address
5501 JACKSBORO HWY STE 402, FORT WORTH, TX 76114-1600
(817) 226-6551
Mailing address
5501 JACKSBORO HWY STE 402, FORT WORTH, TX 76114-1600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109705
TX
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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