Organization Name: | MOSS REHABILTATION CENTER, LLP |
NPI Number: | 1225158058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT NATHAN MOSS (MANAGING PARTNER) |
Mailing Address: | 407 Old Springtown Rd Suite 114 Springtown |
State: | TX US |
Postal Code: | 760822773 |
Phone Number: | 8172206677 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1125003 |
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: |