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1003457300
DANIETA KAY GRISSMAN
FORT WORTH, TX
NPI
1003457300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 2047777)
Enumeration Date
2019-10-08
Last Update Date
2020-08-17
Business Address
Mrs. DANIETA KAY GRISSMAN PTA
12460 WOODS EDGE TRL
FORT WORTH, TX 76244-9408
Phone number: 817-637-0368
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Mailing Address
Mrs. DANIETA KAY GRISSMAN PTA
12460 WOODS EDGE TRL
FORT WORTH, TX 76244-9408
Phone number: 817-637-0368
Copy
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