Organization
RED RIVER REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DANIEL VAUGHAN (PRESIDENT)
(813) 341-2700
Entity
Organization
Contact information
Practice address
105 N 5TH AVE, MADILL, OK 73446-1203
(580) 795-3301
(580) 795-7307
Mailing address
1240 MARBELLA PLAZA DR, TAMPA, FL 33619-7906
(813) 341-2700
(813) 676-0125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/28/2006
Last updated
10/28/2009
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