Organization
OUTPATIENT SPORTS AND SPINE REHABILITATION. LLC
Active
Other names
The Institute for Sports and Spine Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE DOMINO STEVENS (FACILITY DIRECTOR)
(972) 985-2622
Entity
Organization
Contact information
Practice address
1101 OHIO DR, SUITE 110, PLANO, TX 75093-5330
(972) 985-2622
(972) 985-2630
Mailing address
1101 OHIO DR, SUITE 110, PLANO, TX 75093-5330
(972) 985-2622
(972) 985-2630
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
651830000
TX
Other
Enumeration date
07/12/2005
Last updated
06/08/2010
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