MEDICARE: WHITE PINE PHYSICAL REHABILITATION, P.A.

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	174400000X	Specialist	H3634	TX

General Provider Information

NPI Number	:	1841295680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE PINE PHYSICAL REHABILITATION, P.A.

Provider Business Mailing Address
First Line	:	17320 RED OAK DR
Second Line	:	STE 104
City	:	HOUSTON
State	:	TX
Zip	:	77090-2646
Country	:	US
Telephone Number	:	281-586-0542
Fax Number	:	281-586-0543

Provider Business Practice Location Address
First Line	:	17320 RED OAK DR
Second Line	:	STE 104
City	:	HOUSTON
State	:	TX
Zip	:	77090-2646
Country	:	US
Telephone Number	:	281-586-0542
Fax Number	:	281-586-0543

Authorized Official
Title or Position	:	PRESIDENT PHYSICIAN
Name	:	DR. HELEN MARIA SCHILLING
Credential	:	M.D.
Telephone Number	:	281-586-0542

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	11/01/2007

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