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1114679537
JESSICA COULTRIP
FORT WORTH, TX
NPI
1114679537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2159757)
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
JESSICA COULTRIP
1106 ALSTON AVE STE 120
FORT WORTH, TX 76104-4622
Phone number: 832-320-3193
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Mailing Address
JESSICA COULTRIP
3902 COUNTRY CLUB RD
ARLINGTON, TX 76013-3046
Phone number: 682-459-1614
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