| NPI | 1518901214 |
|---|---|
| Doing Business As | DIRECT REHABMED OF LONGVIEW |
| Entity Type | Organization |
| Authorized Contact | RON DANIELS President 903-234-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6215) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX K1283) | |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |