Provider Demographics
NPI:1134472210
Name:JTJ MARKETING INC
Entity Type:Organization
Organization Name:JTJ MARKETING INC
Other - Org Name:SOURCE ONE REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-288-2453
Mailing Address - Street 1:PO BOX 25006
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76124-2006
Mailing Address - Country:US
Mailing Address - Phone:817-457-9850
Mailing Address - Fax:817-287-0001
Practice Address - Street 1:510 W FM 1382
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5322
Practice Address - Country:US
Practice Address - Phone:972-291-2081
Practice Address - Fax:817-287-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty