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1063192904
GRACE BANIK
FORT WORTH, TX
NPI
1063192904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1376202)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
GRACE BANIK
6601 HARRIS PKWY
FORT WORTH, TX 76132-6108
Phone number: 817-738-9866
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Mailing Address
GRACE BANIK
6601 HARRIS PKWY
FORT WORTH, TX 76132-6108
Phone number:
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