North Texas Rehabilitation Center Inc. Eci Program

NPI #1104176155 in Wichita Falls, Texas

Provider Information

NPI Number: 1104176155
Entity Type: Organization
Organization Name: North Texas Rehabilitation Center Inc. Eci Program
Subpart: Yes (part of a larger organization)
Parent Organization: NORTH TEXAS REHABILITATION CENTER
Primary Specialty: Physical Therapist
Enumeration Date: Sep 18, 2012
Last Updated: Sep 18, 2012

Practice Location

Address: 1005 MIDWESTERN PKWY
City: Wichita Falls
State: Texas
ZIP Code: 76302-2211
Phone: (940) 322-0771

Authorized Official

Name: SAUNDRA THOMPSON
Title: CREDENTIALING
Phone: (940) 322-0771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker	104100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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