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1568029320
TY DESILETS
FORT WORTH, TX
NPI
1568029320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1318049)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
TY DESILETS PT
5959 BRYANT IRVIN RD SUITE 100
FORT WORTH, TX 76132
Phone number: 817-294-4646
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Mailing Address
TY DESILETS PT
4061 WATERCOURSE DR APT 2302
FORT WORTH, TX 76109-2038
Phone number: 830-377-9826
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