in The Woodlands - Rehabilitation Practitioner

- NPI 1699825505

is a Rehabilitation Practitioner in The Woodlands, Texas. practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for is 1699825505. The last update date is .

's current location address is 1776 Woodstead Ct, The Woodlands, Texas. You can contact this provider via phone number 7184249182 and fax number 7183357108. The mailing address for is 1776 Woodstead Ct, The Woodlands, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1776 Woodstead Ct, The Woodlands, Texas
Phone Number 7184249182
Fax Number 7183357108
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1699825505
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1776 Woodstead Ct
City The Woodlands
State Texas (TX)
Post Code 773801480
Phone Number 7184249182
Fax Number 7183357108

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Licence No 173976
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
173976 NY PHYSICIAN LICENCE

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