Healthcare Provider Details

I. General information

NPI: 1063422707
Provider Name (Legal Business Name): ARLINGTON PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 INTERSTATE 20 W SUITE 204
ARLINGTON TX
76017-1677
US

IV. Provider business mailing address

2310 INTERSTATE 20 W SUITE 204
ARLINGTON TX
76017-1677
US

V. Phone/Fax

Practice location:
  • Phone: 817-466-7276
  • Fax: 844-283-4950
Mailing address:
  • Phone: 817-466-7276
  • Fax: 817-466-7286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number656190000
License Number StateTX

VIII. Authorized Official

Name: GUILLERMO MORALES
Title or Position: OWNER
Credential: PT
Phone: 817-466-7276