MEDICARE: HANDSON REHAB 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1285401984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDSON REHAB LLC

Provider Business Mailing Address
First Line	:	4918 MILAM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-6216
Country	:	US
Telephone Number	:	713-807-1131
Fax Number	:	713-807-1141

Provider Business Practice Location Address
First Line	:	4918 MILAM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-6216
Country	:	US
Telephone Number	:	713-807-1131
Fax Number	:	713-807-1141

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MRS. NING INFANTE MALABANAN
Credential	:	DPT
Telephone Number	:	713-807-1131

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	12/04/2023

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Directions to “HANDSON REHAB LLC ” Practice Location

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