| NPI | 1104958701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WADE KUEHLER Executive Director 432-332-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-12-13 |