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1528759859
TIFFANY SISSOM
FORT WORTH, TX
NPI
1528759859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
TIFFANY SISSOM
5932 QUEBEC ST STE 180
FORT WORTH, TX 76135-3621
Phone number: 817-713-8268
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Mailing Address
TIFFANY SISSOM
1313 BLANCO CT
BENBROOK, TX 76126-4201
Phone number: 817-713-8268
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