Organization
ANVIK REHAB CENTER, ONC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLY V KOLMAKOV LMT (OWNER)
(972) 612-5363
Entity
Organization
Contact information
Practice address
4152 W SPRING CREEK PKWY STE 116, PLANO, TX 75024-5315
(972) 612-5363
(972) 612-5782
Mailing address
4152 W SPRING CREEK PKWY STE 116, PLANO, TX 75024-5315
(972) 612-5363
(972) 612-5782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9753
TX
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
226300000X
Kinesiotherapist
—
—
283X00000X
Rehabilitation Hospital
—
—
Other
Enumeration date
11/10/2008
Last updated
04/30/2009
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