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NPI Code Detail

MEDICARE: STEP REHABILITATION, LLC

MEDICARE: STEP REHABILITATION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency1176643TX

General Provider Information

NPI Number : 1770824252
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEP REHABILITATION, LLC
Provider Business Mailing Address
First Line : 1828 E SOUTHEAST LOOP 323 STE 113
Second Line :
City : TYLER
State : TX
Zip : 75701-8314
Country : US
Telephone Number : 903-592-2900
Fax Number : 903-384-6046
Provider Business Practice Location Address
First Line : 1828 E SOUTHEAST LOOP 323 STE 113
Second Line :
City : TYLER
State : TX
Zip : 75701-8314
Country : US
Telephone Number : 903-592-2900
Fax Number : 903-384-6046
Authorized Official
Title or Position : OWNER/PHYSICAL THERAPIST
Name : LEAH WOODRUFF
Credential : PT
Telephone Number : 903-316-6001
Provider Enumeration Date : 03/08/2013
Last Update Date : 03/08/2013

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Directions to “STEP REHABILITATION, LLC ” Practice Location

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