Provider Demographics
NPI:1770871519
Name:RHEMA REHABILITATION SERVICES,INC
Entity type:Organization
Organization Name:RHEMA REHABILITATION SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:O
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:972-539-5300
Mailing Address - Street 1:3201 CROSS TIMBERS RD. BLDG. 3, # 100
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2946
Mailing Address - Country:US
Mailing Address - Phone:972-539-5300
Mailing Address - Fax:972-539-5310
Practice Address - Street 1:3201 CROSS TIMBERS RD. BLDG. 3, # 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2946
Practice Address - Country:US
Practice Address - Phone:972-539-5300
Practice Address - Fax:972-539-5310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty