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Organization
PLANET REHAB THERAPY SOLUTIONS
Active
Organization
PLANET REHAB THERAPY SOLUTIONS
Active
Other names
Planet Rehab Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI CLARK I COTA (PRES)
(903) 483-7227
Entity
Organization
Contact information
Practice address
5907 W MARSHALL AVE, LONGVIEW, TX 75604-6011
(903) 483-7227
(903) 483-7227
Mailing address
5907 W MARSHALL AVE, LONGVIEW, TX 75604-6011
(903) 483-7227
(903) 483-7227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
09/16/2017
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