NPI | 1982615241 |
---|---|
Doing Business As | PREMIER PHYSICAL REHABILITATION |
Entity Type | Organization |
Authorized Contact | S. JEFFERY JACKSON Medical Director 325-232-7005 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: TX F4113) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |