Organization · Type 2 NPI
Lead Pediatric Physical Therapy, PLLC
Pediatric Physical Therapist · Fort Worth, TX
Practice location
3462 Blue Bonnet Cir Ste A
Fort Worth, TX 76109-2962
Fax (817) 264-7958
Mailing address
4912 Riverbend Dr
Fort Worth, TX 76109-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | None listed |
| Pediatric Physical Therapist Primary | 2251P0200X | None listed |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
Other pediatric physical therapist providers in Fort Worth
About NPI 1124880240
Lead Pediatric Physical Therapy, PLLC's National Provider Identifier is 1124880240, issued on Jan 24, 2024. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 9, 2026.