Organization
BESPOKE REHABILITATION, LLC
Active
Organization
BESPOKE REHABILITATION, LLC
Active
Other names
Bespoke Rehabilitation, Bespoke Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY A CHAMBERLAIN OTR (CEO/OCCUPATIONAL THERAPIST)
(903) 445-4064
Entity
Organization
Contact information
Practice address
5015 RUSTIC OAK DR, LONGVIEW, TX 75604-8202
(432) 258-8673
Mailing address
5015 RUSTIC OAK DR, LONGVIEW, TX 75604-8202
(432) 258-8673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/24/2024
Last updated
12/27/2024
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