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NPI 1669475885

NPI 1669475885 : NORTH TEXAS REHABILITATION CENTER, INC. : WICHITA FALLS, TX

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General NPI Number Information
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    NPI Number           |    1669475885
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTH TEXAS REHABILITATION CENTER, INC. 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    09/05/2025
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Provider Practice Location Address
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    Address Line         |    1005 MIDWESTERN PKWY 
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76302-2211
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    Country              |    US
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    Telephone            |    940-322-0771
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    Fax                  |    940-766-4943
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Provider Business Mailing Address
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    Address Line         |    1005 MIDWESTERN PKWY 
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76302-2211
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    Country              |    US
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    Telephone            |    940-322-0771
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    Fax                  |    940-766-4943
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. SANDRA  ROSS 
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    Credential           |    
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    Telephone            |    940-687-4932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    604700000
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    102098
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    508250000
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    TX62963
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    License Number State |    TX
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Taxonomy #5
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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