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Michelle Bamidele Fagbeyiro, PTA

Physical Therapy Assistant in Arlington, TX. Individual provider (NPI-1).

NPI number1144697665
StatusActive
Last updated in NPPESSep 1, 2015

Details

NPI
1144697665
Entity type
Individual (NPI-1)
Name
Michelle Bamidele Fagbeyiro
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2015
Last updated
Sep 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2112615TXYes

Practice location

6049 W Interstate 20
Arlington, TX 76017-1042

Phone 817-483-1746

Mailing address

6049 W Interstate 20
Arlington, TX 76017-1042

Phone 817-483-1746

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