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General NPI Number Information
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NPI Number | 1588978613
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Entity Type | Organization
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Legal Business Name | INNOVATIVE REHABILITATION,LLC
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 440 HIGHWAY 59 LOOP S STE 104
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City | LIVINGSTON
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State | TX
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Zip | 77351-9011
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Country | US
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Telephone | 936-328-8148
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Fax | 936-327-2491
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Provider Business Mailing Address
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Address Line | 440 HIGHWAY 59 LOOP S STE 104
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City | LIVINGSTON
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State | TX
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Zip | 77351-9011
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Country | US
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Telephone | 936-328-8148
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Fax | 936-327-2491
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. AMY BETH CROW
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Credential | SLP
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Telephone | 936-328-8148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 107336
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 111675
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 24933
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 15485
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 109182
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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