Organization Name: | RESTHAB INC. |
NPI Number: | 1174692883 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMMY LYNN IRBY (ADMINISTRATORCOOWNER) |
Mailing Address: | 1129 Industrial Dr E Sulphur Springs |
State: | TX US |
Postal Code: | 754823326 |
Phone Number: | 9038859906 |
Fax Number: | 9034389636 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |