Provider Demographics
NPI:1760866214
Name:NEURO PHYSICAL RECOVERY INC
Entity Type:Organization
Organization Name:NEURO PHYSICAL RECOVERY INC
Other - Org Name:NEUROLOGICAL RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISHUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-926-2067
Mailing Address - Street 1:2600 CHERRY LN
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-3920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2600 CHERRY LN
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-3920
Practice Address - Country:US
Practice Address - Phone:682-312-7693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty