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1235619172
DAVINA ANDREA DEEN
FORT WORTH, TX
NPI
1235619172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2129301)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
DAVINA ANDREA DEEN PTA
4515 VILLAGE CREEK RD
FORT WORTH, TX 76119-4158
Phone number: 817-451-8704
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Mailing Address
DAVINA ANDREA DEEN PTA
3912 SAN LUIS CT
ARLINGTON, TX 76016-2741
Phone number: 816-217-1658
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