LACIE DANIEL

AZLE, TX
NPI1740744937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2136356)
Enumeration Date2019-01-22
Last Update Date2019-01-22
Business Address
LACIE DANIEL PTA
721 DUNAWAY LN
AZLE, TX 76020-2605
Phone number: 817-444-2536
Mailing Address
LACIE DANIEL PTA
8612 GUADALUPE RD
FORT WORTH, TX 76116-6702
Phone number: 682-556-9556
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