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Organization
THE CHALON CORPORATION
Active
Organization
THE CHALON CORPORATION
Active
Other names
Rehab Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON VAN AMBURGH (VICE PRESIDENT)
(972) 771-0999
Entity
Organization
Contact information
Practice address
930 W RALPH HALL PKWY, #120, ROCKWALL, TX 75032-6664
(972) 771-1090
(972) 771-6543
Mailing address
PO BOX 2500, ROCKWALL, TX 75087-9000
(972) 771-0999
(972) 771-2281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
612140000
TX
225X00000X
Occupational Therapist
553130001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165348701
—
TX
Enumeration date
05/31/2005
Last updated
09/24/2012
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