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Organization
PRO REHAB ASSOCIATES PA
Active
Organization
PRO REHAB ASSOCIATES PA
Active
Other names
Mansfield Physical Medicine and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH BHARAT BHAKTA D.C. (COO)
(817) 453-0430
Entity
Organization
Contact information
Practice address
221 REGENCY PKWY, SUITE 101, MANSFIELD, TX 76063-5379
(817) 453-0430
(817) 453-0400
Mailing address
221 REGENCY PKWY, SUITE 101, MANSFIELD, TX 76063-5379
(817) 453-0430
(817) 453-0400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10852
TX
2086S0129X
Vascular Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
1600
TX
225100000X
Physical Therapist
1167330
TX
Other
Enumeration date
09/25/2008
Last updated
04/21/2021
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