Healthcare Provider Details
I. General information
NPI: 1992006324
Provider Name (Legal Business Name): HUFFMAN REHAB PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2010
Last Update Date: 08/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2750 S PRESTON RD SUITE 117
CELINA TX
75009-3885
US
IV. Provider business mailing address
2750 S PRESTON RD SUITE 117
CELINA TX
75009-3885
US
V. Phone/Fax
- Phone: 214-851-5795
- Fax: 214-851-0012
- Phone: 214-851-5795
- Fax: 214-851-0012
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CARRIE
DOYLE
Title or Position: OFFICE MANAGER
Credential:
Phone: 214-851-5795