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1508341058
STEFFANI BLACK
FORT WORTH, TX
NPI
1508341058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2045185)
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
STEFFANI BLACK
5601 BRIDGE ST STE 500
FORT WORTH, TX 76112-2352
Phone number: 682-990-5600
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Mailing Address
STEFFANI BLACK
5601 BRIDGE ST STE 500
FORT WORTH, TX 76112-2352
Phone number: 682-990-5600
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