Organization
SELECT REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER DIANE SMITH-REED COTA (COTA. PRN)
(469) 288-1808
Entity
Organization
Contact information
Practice address
3690 MAPLESHADE LN, PLANO, TX 75075-5715
(903) 868-0593
Mailing address
209 RUGBY LN, MCKINNEY, TX 75072-5982
(469) 288-1808
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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