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NPI Code Detail

MEDICARE: THERAPEUTIC REHAB, LLC

MEDICARE: THERAPEUTIC 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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1558567180
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC REHAB, LLC
Provider Business Mailing Address
First Line : 9898 BISSONNET ST STE 605
Second Line :
City : HOUSTON
State : TX
Zip : 77036-8256
Country : US
Telephone Number : 713-771-7501
Fax Number : 713-777-9612
Provider Business Practice Location Address
First Line : 9898 BISSONNET ST STE 605
Second Line :
City : HOUSTON
State : TX
Zip : 77036-8256
Country : US
Telephone Number : 713-771-7501
Fax Number : 713-777-9612
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. WAYNE WANG
Credential :
Telephone Number : 713-771-7501
Provider Enumeration Date : 06/21/2007
Last Update Date : 08/22/2020

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Directions to “THERAPEUTIC REHAB, LLC ” Practice Location

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