NPI | 1811060981 |
---|---|
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 549410000) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 649290000) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |