FUNCTIONAL REHABILITATION PLLC
Restorative Service Providers at County Road 1037, Waterman, TX

License number
Texas 1187778
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: MIRANDA SHEA WILLIAMS PT, DPT
Title: OWNER
Phone: (936) 591-4281
Address
Address
169 County Road 1037, Waterman, TX 75935
National Provider ID: 1215488929
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FUNCTIONAL REHABILITATION, PLLC

169 County Rd 1037, Center, TX 75935

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
May 2, 2011
State ID:
0801420582
Business type:
Domestic Limited Liability Company (LLC)
Director, Member:
Miranda Williams (Director, Member), 169 Crk 1037, Center, TX 75935
Agent:
Miranda S. Williams,169 Crk 1037, Center, TX 75935 (Physical)
TIN:
32044178146

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