Organization
RESTHAB INC.
Active
Other names
Sulphur Springs Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN IRBY RN (ADMINISTRATORCOOWNER)
(903) 885-9906
Entity
Organization
Contact information
Practice address
1129 INDUSTRIAL DR E, SULPHUR SPRINGS, TX 75482-3326
(903) 885-9906
(903) 438-9636
Mailing address
PO BOX 29, SULPHUR SPRINGS, TX 75483-0029
(903) 885-9906
(903) 438-9636
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051JB
BCBS PROVIDER #
TX
Enumeration date
11/07/2006
Last updated
08/22/2020
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