Healthcare Provider Details

I. General information

NPI: 1639342017
Provider Name (Legal Business Name): DELTA REHABILITATION SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 3RD ST SUITE 19
ROSENBERG TX
77471-2605
US

IV. Provider business mailing address

PO BOX 18618
SUGAR LAND TX
77496-8618
US

V. Phone/Fax

Practice location:
  • Phone: 832-431-5623
  • Fax: 866-215-0355
Mailing address:
  • Phone: 281-804-0612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1082881
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN HAMID
Title or Position: PRESIDENT
Credential: PHYSICAL THERAPIST
Phone: 281-804-0612