Provider Demographics
NPI:1063794485
Name:REHABILITATION THERAPY CARE INC
Entity type:Organization
Organization Name:REHABILITATION THERAPY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBRUSHKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-407-0916
Mailing Address - Street 1:PO BOX 794994
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-4994
Mailing Address - Country:US
Mailing Address - Phone:972-407-0916
Mailing Address - Fax:972-407-1370
Practice Address - Street 1:17254 STEDMAN DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-4000
Practice Address - Country:US
Practice Address - Phone:972-407-0916
Practice Address - Fax:972-407-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT007576225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty