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1730795907
TYLER MACDONELL
FORT WORTH, TX
NPI
1730795907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1304287)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
TYLER MACDONELL
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
TYLER MACDONELL
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number:
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PEAK PHYSICAL THERAPY, LLC