| Organization Name: | PERMIAN BASIN REHABILITATION CENTER FOR CRIPPLED CHILDREN AND ADULTS |
| NPI Number: | 1104958701 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN WADE KUEHLER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 620 N Alleghaney Ave Odessa |
| State: | TX US |
| Postal Code: | 797614408 |
| Phone Number: | 4323328244 |
| Fax Number: | 4325807428 |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |