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1659146769
JERROD MELENDEZ
FORT WORTH, TX
NPI
1659146769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2170335)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
JERROD MELENDEZ PTA
1106 ALSTON AVE STE 120
FORT WORTH, TX 76104-4622
Phone number: 817-332-0660
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Mailing Address
JERROD MELENDEZ PTA
448 FUENTE
IRVING, TX 75039-3408
Phone number: 940-642-2966
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