| NPI | 1669696704 |
|---|---|
| Doing Business As | SOURCE ONE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JARROD M ROGERS President CEO 214-370-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111742) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |