Organization Name: | PARTNERS THERAPY AND REHABILITATION,PLLC |
NPI Number: | 1053546283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD A BUCZEK (OWNER) |
Mailing Address: | 111 Vision Park Blvd Suite 250 Shenandoah |
State: | TX US |
Postal Code: | 773843002 |
Phone Number: | 2813632829 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2009 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 110312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |