Most Relevant Information
Provider Data
| NPI Number: | 1003532466 |
| Provider Name: | BROOKE ANN RING PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2147668 |
Most Important Dates
| Enumeration Date: | 10/18/2022 |
| Last Updated: | 10/18/2022 |
Provider Practice Location
9525 N BEACH ST STE 413
FORT WORTH
TX
762446438
Practice Location Phone/Fax
| Phone: | 8177569892 |
| Fax: | 8175027412 |
Provider Mailing Location
1110 E STATE HIGHWAY 114 STE 100
SOUTHLAKE
TX
760925251
Provider Mailing Phone/Fax
| Phone: | 8177569892 |
| Fax: | 8175027412 |