Organization
CORE REHAB ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY CARTER DO (MEDICAL DIRECTOR)
(817) 370-6350
Entity
Organization
Contact information
Practice address
6001 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 370-6350
(817) 370-6401
Mailing address
PO BOX 34382, FORT WORTH, TX 76162-4382
(817) 370-6350
(817) 370-6401
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
03/20/2017
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