Healthcare Provider Details

I. General information

NPI: 1891237251
Provider Name (Legal Business Name): LOIAL REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2016
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 W PRESIDENT GEORGE BUSH HWY STE 150
PLANO TX
75075-5752
US

IV. Provider business mailing address

3033 W PRESIDENT GEORGE BUSH HWY STE 150
PLANO TX
75075-5752
US

V. Phone/Fax

Practice location:
  • Phone: 972-390-7733
  • Fax:
Mailing address:
  • Phone: 972-390-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARREN L SAPP
Title or Position: VP OF OPERATIONS
Credential:
Phone: 214-667-8030