Organization
RANDALL SUNDERLAND
Active
Other names
Matrix Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL LEE SUNDERLAND (ADMINISTRATOR OWNER)
(830) 768-2582
Entity
Organization
Contact information
Practice address
707 E 17TH ST, DEL RIO, TX 78840-7817
(830) 768-2582
(830) 768-0992
Mailing address
707 E 17TH ST, DEL RIO, TX 78840-7817
(830) 768-2582
(830) 768-0992
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Enumeration date
06/18/2006
Last updated
09/18/2007
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