Organization
SENIOR REHAB INNOVATORS PLLC
Active
Other names
Active Aging Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PRADEEP RAPALLI PT, DPT, MBA (OWNER)
(419) 378-1566
Entity
Organization
Contact information
Practice address
6262 HOME PORT DR APT 1530, FORT WORTH, TX 76131-2389
(419) 378-1566
Mailing address
6262 HOME PORT DR APT 1530, FORT WORTH, TX 76131-2389
(419) 378-1566
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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