Organization
CONCENTRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA ANN REDDOUT OTR/L (OCCUPATIONAL THERAPIST)
(817) 441-1091
Entity
Organization
Contact information
Practice address
139 RIM ROCK RD, ALEDO, TX 76008-3983
(817) 441-1091
Mailing address
139 RIM ROCK RD, ALEDO, TX 76008-3983
(817) 441-1091
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
112436
TX
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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