Organization
TEXAS TRAUMATIC BRAIN INJURY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA RILEY (ADMIN)
(214) 943-9431
Entity
Organization
Contact information
Practice address
214 W. COLORADO BLVD., DALLAS, TX 75208
(214) 943-9431
(214) 943-9407
Mailing address
PO BOX 226656, DALLAS, TX 75222
(214) 943-9431
(214) 943-9407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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