JERRE TIEDE VANDENBENT

DALLAS, TX
NPI1467578823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: TX  1084499)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- JERRE TIEDE VANDENBENT PT
2535 LONE STAR DR
DALLAS, TX 75212-6313
Phone number: 214-467-9787
Mailing Address
-- JERRE TIEDE VANDENBENT PT
2135 ELMWOOD BLVD
DALLAS, TX 75224-1010
Phone number:
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