Organization
SELECT REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY HART (OCCUPATIONAL THERAPIST)
(903) 574-7183
Entity
Organization
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
225 TENNISON RD APT 1102, MT PLEASANT, TX 75455-9350
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111216
OCCUPATIONAL THERAPIST
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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