Organization · Type 2 NPI

Sportherapy Southwest, PC

Comprehensive Outpatient Rehabilitation Facility (CORF) · Fort Worth, TX

NPI number 1801812698 Active

Practice location

6037 Harris Pkwy
Fort Worth, TX 76132-4103

Fax (817) 370-9894

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X605100000 (TX)
Rehabilitation Clinic/Center 261QR0400X605100000 (TX)
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401X605100000 (TX)

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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About NPI 1801812698

Sportherapy Southwest, PC's National Provider Identifier is 1801812698, issued on Jul 14, 2006. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Fort Worth, TX. The record was last updated on May 20, 2014.