| Source One Rehabilitation | |
|
5425 W Spring Creek Pkwy Ste 270 Plano TX 75024-4317 | |
| (972) 801-2190 | |
| (972) 801-2191 |
| Full Name | Source One Rehabilitation |
|---|---|
| Speciality | Physical Therapist |
| Location | 5425 W Spring Creek Pkwy Ste 270, Plano, Texas |
| Authorized Official Name and Position | Jarrod Rogers (PRES/CEO) |
| Authorized Official Contact | 2145779191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Source One Rehabilitation Po Box 251728 Plano TX 75025-1517 Ph: (972) 801-2190 | Source One Rehabilitation 5425 W Spring Creek Pkwy Ste 270 Plano TX 75024-4317 Ph: (972) 801-2190 |
| NPI Number | 1093090128 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093090128 | NPI | - | NPPES |
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