| NPI | 1467437087 |
|---|---|
| Other Name | MOUNTAINCREST REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JOEL DAMARILLO SEBAG Executive Director 870-743-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-11-29 |