# BROOKWAY THERAPY AT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396546925
- **Authorized official:** MRS. DANA L CARR PT (OWNER)
- **Authorized official phone:** (817) 307-0207

## Contact information

- **Practice address:** 1 BROOKWAY CT, MANSFIELD, TX 76063-5416
- **Practice address phone:** (817) 307-0207
- **Mailing address:** 1 BROOKWAY CT, MANSFIELD, TX 76063-5416
- **Mailing address phone:** (817) 307-0207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2025
- **Last updated:** 03/20/2025