| NPI | 1689747750 |
|---|---|
| Doing Business As | SOURCE ONE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JARROD M ROGERS President 214-577-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 649290001) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 549410001) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-03-11 |