Organization
SPORTS REHABILITATION SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA MARIE PICKREL PT (VICE PRESIDENT)
(817) 877-8977
Entity
Organization
Contact information
Practice address
1901 COOPER ST, FT WORTH, TX 76104
(817) 877-8977
(817) 877-1106
Mailing address
1901 COOPER ST, FT WORTH, TX 76104
(817) 877-8977
(817) 877-1106
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5292500
TX
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/17/2006
Last updated
11/29/2007
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