Organization
GREEN APPLE REHAB LLC
Active
Other names
GREEN APPLE THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE UTLEY (OWNER)
(817) 550-5058
Entity
Organization
Contact information
Practice address
150 WILLOW CREEK DR, STE 105, WEATHERFORD, TX 76085-3652
(817) 550-5058
(817) 550-8177
Mailing address
150 WILLOW CREEK DR, STE 105, WEATHERFORD, TX 76085-3652
(817) 550-5058
(817) 550-8177
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
05/09/2012
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