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1376023564
KATELYN D'ANN WALLEY
FORT WORTH, TX
NPI
1376023564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2127465)
Enumeration Date
2018-08-16
Last Update Date
2018-08-20
Business Address
KATELYN D'ANN WALLEY PTA
1101 W VICKERY BLVD
FORT WORTH, TX 76104
Phone number: 682-885-6294
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Mailing Address
KATELYN D'ANN WALLEY PTA
PO BOX 99283
FORT WORTH, TX 76199-0283
Phone number: 629-468-2885
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