Organization · NPI-2

Anvik Rehab Center, Onc.

Chiropractor · Plano, TX

NPI number1548414170

StatusActive

Last updated in NPPESApr 30, 2009

Details

NPI: 1548414170
Entity type: Organization (NPI-2)
Legal business name: Anvik Rehab Center, Onc.
Organization subpart: No
Enumeration date: Nov 10, 2008
Last updated: Apr 30, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
111N00000X	Chiropractor	9753	TX	Yes
225100000X	Physical Therapist	–	–
2251X0800X	Physical Therapist, Orthopedic	–	–
2255A2300X	Specialist/Technologist, Athletic Trainer	–	–
225700000X	Massage Therapist	–	–
225C00000X	Rehabilitation Counselor	–	–
225XP0019X	Occupational Therapist, Physical Rehabilitation	–	–
226300000X	Kinesiotherapist	–	–
283X00000X	Rehabilitation Hospital	–	–

Practice location

4152 W Spring Creek Pkwy Ste 116
Plano, TX 75024-5315

Phone 972-612-5363 · Fax 972-612-5782

Mailing address

4152 W Spring Creek Pkwy Ste 116
Plano, TX 75024-5315

Phone 972-612-5363 · Fax 972-612-5782

Authorized official

Anatoly V Kolmakov
Owner
9726125363

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