Healthcare Provider Details

I. General information

NPI: 1851781421
Provider Name (Legal Business Name): THE REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 02/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 HILLCREST DR
SHERMAN TX
75092-5507
US

IV. Provider business mailing address

1216 HILLCREST DR
SHERMAN TX
75092-5507
US

V. Phone/Fax

Practice location:
  • Phone: 903-893-7457
  • Fax: 903-893-6671
Mailing address:
  • Phone: 903-893-7457
  • Fax: 903-893-6671

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: POLLY SUSAN TAYLOR
Title or Position: OFFICE MANGER
Credential:
Phone: 903-893-7457