Organization
REHAB CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE NICHOLAS (SPEECH LANGUAGE PATHOLIGIST)
(806) 543-9533
Entity
Organization
Contact information
Practice address
1700 SAXONY RD, FORT WORTH, TX 76116
(806) 543-9533
Mailing address
1700 SAXONY RD, FORT WORTH, TX 76116-1906
(806) 543-9533
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
TX
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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