Organization
R3 PHYSIOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WAYNE RACCA (OWNER)
(214) 726-6267
Entity
Organization
Contact information
Practice address
11601 EMORY TRL, FORT WORTH, TX 76244-8805
(214) 726-6267
(682) 593-3599
Mailing address
11601 EMORY TRL, FORT WORTH, TX 76244-8805
(214) 726-6267
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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