FORT WORTH PHYSICAL THERAPY PLLC
Occupational Therapy at Hawkins View Dr, Fort Worth, TX

License number
Texas 1117091
Category
Restorative Service Providers
Type
Physical Therapist
License number
Texas 109622
Category
Restorative Service Providers
Type
Occupational Therapist
Owner
Name: MRS. SUZANNE WELCH
Title: CREDENTIALS COORDINATOR
Phone: (817) 304-4786
Address
Address
7277 Hawkins View Dr, Fort Worth, TX 76132
National Provider ID: 1598968505
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FORT WORTH PHYSICAL THERAPY PLLC at bizstanding.com

FORT WORTH PHYSICAL THERAPY, PLLC

Fort Worth, TX

Industry:
Health Practitioner's Office
Doing business as:
Fort Worth Physical Therapy<br>Fort Worth Physical Therapy, Pllc<br>Srm Medical Group, Pllc
Registration:
Nov 27, 2007
Phone:
(817) 423-5611 (Phone)
Addresses:
6407 SW Blvd, Fort Worth, TX 76132 (Mailing)
7277 Hawkins Vw Dr, Fort Worth, TX 76132
State ID:
0800901873
Business type:
Domestic Limited Liability Company (LLC)
Governing Members:
Luke Mckenzie (MEMBER, Member), 6407 SW Blvd, Fort Worth, TX 76132,Weldon K Russo (MEMBER, Member), 6407 SW Blvd, Fort Worth, TX 76132,J. Luke Mckenzie Governing Member, inactive
Agent:
William L. Aston,8001 Boat Clb Rd, Fort Worth, TX 76179 (Physical)
TIN:
32031652905

Occupational Therapy licenses in Texas










Other Doctors licenses in Texas