| NPI | 1831712413 |
|---|---|
| Doing Business As | DESTINATION THERAPY |
| Other Name | DESTINATION LAB |
| Entity Type | Organization |
| Authorized Contact | ZEMELDA D. CARR Adm & Auth Rep 817-473-1312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 291U00000X Clinical Medical Laboratory | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-07-30 |