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1770858110
STUART BRAD CLONTZ
FORT WORTH, TX
NPI
1770858110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 107885)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
-- STUART BRAD CLONTZ
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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Mailing Address
-- STUART BRAD CLONTZ
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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