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1871827832
DESRA AILEEN WALKER
FORT WORTH, TX
NPI
1871827832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2043164)
Enumeration Date
2009-09-23
Last Update Date
2009-09-23
Business Address
-- DESRA AILEEN WALKER LPTA
5601 BRIDGE ST
FORT WORTH, TX 76112-2384
Phone number: 817-446-5000
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Mailing Address
-- DESRA AILEEN WALKER LPTA
12908 GLENVILLE CT
FORT WORTH, TX 76244-5779
Phone number: 682-597-1930
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