Red River Rehabilitation INC

NPI #1972695039 in Madill, Oklahoma

Provider Information

NPI Number: 1972695039
Entity Type: Organization
Organization Name: Red River Rehabilitation INC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 28, 2006
Last Updated: Oct 28, 2009

Practice Location

Address: 105 N 5TH AVE
City: Madill
State: Oklahoma
ZIP Code: 73446-1203
Phone: (580) 795-3301

Authorized Official

Name: MR. ROBERT DANIEL VAUGHAN
Title: PRESIDENT
Phone: (813) 341-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Physical Therapy Assistant	225200000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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