Organization
OMNI REHAB SPECIALISTS, LLC
Active
Other names
Omni Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAYLOR ADAM HEILERS (MANAGING MEMBER)
(281) 592-5579
Entity
Organization
Contact information
Practice address
118 S COLLEGE AVE, CLEVELAND, TX 77327-4502
(281) 592-5579
(281) 592-8941
Mailing address
118 S COLLEGE AVE, CLEVELAND, TX 77327-4502
(281) 592-5579
(281) 592-8941
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
664450000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021745701
—
TX
Enumeration date
05/26/2006
Last updated
02/14/2014
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