| NPI | 1679312011 |
|---|---|
| Former Legal Business Name | BESPOKE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JIMMY A CHAMBERLAIN CEO/Occupational Therapist 432-258-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |