Agestrong Trinity Terrace | |
1600 Texas St, Fort Worth, TX 76102-3400 | |
(971) 260-5200 | |
Not Available |
Full Name | Agestrong Trinity Terrace |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 1600 Texas St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679240824 | NPI | - | NPPES |
Provider Name | Katy Allen Stivers |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992355275 PECOS PAC ID: 1355769142 Enrollment ID: I20200910001409 |
Provider Name | Sonali Aggarwal |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083205991 PECOS PAC ID: 4587070396 Enrollment ID: I20210302002911 |
Provider Name | Heather Dunklin |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1609104967 PECOS PAC ID: 1759786569 Enrollment ID: I20210818002511 |
Provider Name | Matthew Nevarez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720740434 PECOS PAC ID: 2567851694 Enrollment ID: I20211111001271 |
Provider Name | Evonna Louise Leyendekker |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1093487829 PECOS PAC ID: 5294124335 Enrollment ID: I20211111001778 |
Provider Name | Michelle Rose Lazaro |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982733416 PECOS PAC ID: 4688063738 Enrollment ID: I20211111002113 |
Provider Name | Laura Abey |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427470772 PECOS PAC ID: 3274922323 Enrollment ID: I20211111002330 |
Provider Name | Brenda L Hoy |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669851960 PECOS PAC ID: 2668866732 Enrollment ID: I20220307001321 |
Provider Name | Manasi Kamat |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861906679 PECOS PAC ID: 0749536803 Enrollment ID: I20221024002099 |
Provider Name | Brittany Horvath |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1346720588 PECOS PAC ID: 3375915952 Enrollment ID: I20230207003567 |
Provider Name | Anita Caitlin Rogers Trevillion |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023545472 PECOS PAC ID: 7012375348 Enrollment ID: I20230620000700 |
Mailing Address | Practice Location Address |
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Agestrong Trinity Terrace 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: () - | Agestrong Trinity Terrace 1600 Texas St, Fort Worth, TX 76102-3400 Ph: (971) 260-5200 |