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NPI Code Detail

MEDICARE: REHABILITATION TREATMENT PA

MEDICARE: REHABILITATION TREATMENT PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1609845395
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION TREATMENT PA
Provider Business Mailing Address
First Line : 5119 AMBERGATE LANE
Second Line :
City : DALLAS
State : TX
Zip : 75287
Country : US
Telephone Number : 972-930-9403
Fax Number :
Provider Business Practice Location Address
First Line : 5119 AMBERGATE LANE
Second Line :
City : DALLAS
State : TX
Zip : 75287
Country : US
Telephone Number : 972-930-9403
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. RICHARD N BROWN
Credential : MD
Telephone Number : 972-930-9403
Provider Enumeration Date : 03/15/2006
Last Update Date : 08/22/2020

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Directions to “REHABILITATION TREATMENT PA ” Practice Location

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