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Organization
ALL ABOUT REHAB LLC
Active
Organization
ALL ABOUT REHAB LLC
Active
Other names
Pediatric Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DIANE BEAVER CPA (OWNER)
(817) 377-2535
Entity
Organization
Contact information
Practice address
1836 SANTA FE DR, WEATHERFORD, TX 76086-6422
(817) 377-2535
(817) 292-0572
Mailing address
3550 HULEN ST, SUITE D, FORT WORTH, TX 76107-6885
(817) 377-2535
(817) 292-0572
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
67-6681
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000168-01
—
TX
01
—
85PQ
BCBS
—
Enumeration date
03/19/2007
Last updated
06/18/2013
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