Organization Name: | BRIDGE CITY OCCUPATIONAL REHABILITATION AND PAIN MANAGEMENT, INC. |
NPI Number: | 1194913525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN JAMES ROGERS (PHYSICAL THERAPIST) |
Mailing Address: | 1010 W Round Bunch Rd Bridge City |
State: | TX US |
Postal Code: | 776112344 |
Phone Number: | 4096973718 |
Fax Number: | 4096973963 |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1133452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |