MEDICARE: PERMANENT, INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist		TX

General Provider Information

NPI Number	:	1962552190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERMANENT, INCORPORATED

Provider Business Mailing Address
First Line	:	6323 DANBURY LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-2153
Country	:	US
Telephone Number	:	214-739-8006
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 S COOPER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5933
Country	:	US
Telephone Number	:	817-467-9951
Fax Number	:	817-467-9951

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ELAINE B KIRBY
Credential	:
Telephone Number	:	214-739-8006

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	08/22/2020

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Directions to “PERMANENT, INCORPORATED ” Practice Location

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