| NPI | 1891819157 |
|---|---|
| Doing Business As | PEDIATRIC REHAB |
| Entity Type | Organization |
| Authorized Contact | BARBARA DIANE BEAVER Owner 817-377-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 67-6681) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-06-18 |