Healthcare Provider Details

I. General information

NPI: 1689073637
Provider Name (Legal Business Name): SENIOR REHAB SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 N HARWOOD ST STE 2000
DALLAS TX
75201-2124
US

IV. Provider business mailing address

2828 N HARWOOD ST STE 2000
DALLAS TX
75201-2124
US

V. Phone/Fax

Practice location:
  • Phone: 214-252-7600
  • Fax: 214-252-7599
Mailing address:
  • Phone: 214-252-7600
  • Fax: 214-252-7599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BRANDLEY
Title or Position: PRESIDENT
Credential:
Phone: 214-252-7600