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Contact Information

EAST REHABILITATION PA
16633 DALLAS PKWY STE 150
ADDISON, TX75001-6812
 Phone: 972-380-0000
 Fax: 972-380-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Chiropractor

111N00000X 35 Chiropractic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for EAST REHABILITATION PA · (Female)

NPI # 1558322859
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # M1138
  • TX License # P8718
  • TX Medicaid 154668101
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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