Organization · Type 2 NPI
East Texas Treatment Center
Comprehensive Outpatient Rehabilitation Facility (CORF) · Kilgore, TX
NPI number
1023002425
Active
Practice location
1200 Dudley Rd
Kilgore, TX 75662-3306
Fax (903) 984-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 605680000 (TX) |
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | None listed |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
4 other providers at this address
- Carol Ann Lambert, OTRComprehensive Outpatient Rehabilitation Facility (CORF) Kilgore, TX NPI 1871622050
- Cynthia Kulak, P.T.Physical Therapist Kilgore, TX NPI 1063502888
- Jessica Davis, OTR, MOTOccupational Therapist Kilgore, TX NPI 1437801149
- Shirley Jane Goetze, CCC/SLPSpeech-Language Pathologist Kilgore, TX NPI 1962710962
About NPI 1023002425
East Texas Treatment Center's National Provider Identifier is 1023002425, issued on Aug 31, 2005. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Kilgore, TX. The record was last updated on Feb 17, 2022.