Bespoke Rehabilitation, LLC

NPI #1679312011 in Longview, Texas

Provider Information

NPI Number: 1679312011
Entity Type: Organization
Organization Name: Bespoke Rehabilitation, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 24, 2024
Last Updated: Dec 27, 2024

Practice Location

Address: 5015 RUSTIC OAK DR
City: Longview
State: Texas
ZIP Code: 75604-8202
Phone: (432) 258-8673

Authorized Official

Name: MR. JIMMY A CHAMBERLAIN, OTR
Title: CEO/OCCUPATIONAL THERAPIST
Phone: (903) 445-4064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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