MEDICARE: RITA S. GLAUDE, INC.

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	1111961	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881675502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITA S. GLAUDE, INC.

Provider Business Mailing Address
First Line	:	117 LANE DR
Second Line	:	SUITE 20
City	:	ROSENBERG
State	:	TX
Zip	:	77471-2200
Country	:	US
Telephone Number	:	281-238-0303
Fax Number	:	281-238-0371

Provider Business Practice Location Address
First Line	:	117 LANE DR
Second Line	:	SUITE 20
City	:	ROSENBERG
State	:	TX
Zip	:	77471-2200
Country	:	US
Telephone Number	:	281-238-0303
Fax Number	:	281-238-0371

Authorized Official
Title or Position	:	CEO
Name	:	MRS. RITA S GLAUDE
Credential	:
Telephone Number	:	281-238-0303

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	08/26/2024

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