Provider Demographics
NPI:1962210120
Name:ENGLISH, PEARL (PTA)
Entity type:Individual
Prefix:
First Name:PEARL
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13233 FIELDSTONE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5744
Mailing Address - Country:US
Mailing Address - Phone:682-219-7314
Mailing Address - Fax:
Practice Address - Street 1:3401 AMADOR DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-2227
Practice Address - Country:US
Practice Address - Phone:817-438-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2121847208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation