Organization
WORK&REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAIN RAY KLOSTERMANN OT (CEO)
(325) 795-9675
Entity
Organization
Contact information
Practice address
4546 S 14TH ST, ABILENE, TX 79605-4737
(325) 795-9675
(325) 795-9680
Mailing address
4546 S 14TH ST, ABILENE, TX 79605-4737
(325) 795-9675
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
550580000
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
550580000,651190000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161670802
—
TX
Enumeration date
05/11/2007
Last updated
05/15/2008
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